MEDICARE: RAQUEL MICHELLE ORTIZ-MERCED PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051.308050	IL

General Provider Information

NPI Number	:	1275482143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL MICHELLE ORTIZ-MERCED PHARMD

Provider Business Mailing Address
First Line	:	7319 ROLLING HILLS LN
Second Line	:
City	:	MACHESNEY PARK
State	:	IL
Zip	:	61115-7678
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 ROXBURY RD
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61107-5059
Country	:	US
Telephone Number	:	815-398-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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