Healthcare Provider Details

I. General information

NPI: 1346901436
Provider Name (Legal Business Name): JAMES MUOKIE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2022
Last Update Date: 01/01/2022
Certification Date: 01/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 CATON FARM RD
PLAINFIELD IL
60586-1601
US

IV. Provider business mailing address

6816 TWIN FALLS DR
PLAINFIELD IL
60586-2094
US

V. Phone/Fax

Practice location:
  • Phone: 815-436-2123
  • Fax:
Mailing address:
  • Phone: 773-919-3078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051289799
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier051289799
Identifier TypeOTHER
Identifier StateIL
Identifier IssuerDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: