Healthcare Provider Details

I. General information

NPI: 1881559417
Provider Name (Legal Business Name): ZACHARY ROCK ST PIERRE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S MARYLAND AVE
CHICAGO IL
60637-1443
US

IV. Provider business mailing address

707 W SHERIDAN RD APT 501
CHICAGO IL
60613-3208
US

V. Phone/Fax

Practice location:
  • Phone: 888-824-0200
  • Fax:
Mailing address:
  • Phone: 586-907-1838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051303404
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: