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Mark Conlin , RPH

Pharmacist β€’ Bourbonnais, IL

Active NPI 1801957782 Individual Practitioner Male Practitioner
Practice location in NPPES

1615 N State Route 50
Bourbonnais, IL 609149324

Call 8159331777 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1615 N State Route 50

Bourbonnais, IL 609149324

Telephone 8159331777
Organization at the Same NPPES Address or Phone
Highland Park Cvs Llc Facility NPI 1972525780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bourbonnais and Illinois

17 active clinicians are listed under Pharmacist with a practice address in Bourbonnais, IL (9,750 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bourbonnais

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES IL 051033743

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES IN 26023410A

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
362590334001 (IL)
Other Identifier Nabp
1412232 (IL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 01, 2021

Registered at 1615 N STATE ROUTE 50, BOURBONNAIS, IL 609149324 (Tel: 8159331777)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2021

Pharmacist (license number reported to NPPES: IL 051033743)

βœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2007

Registered at 11350 S CICERO AVE, ALSIP, IL 608032830 (Tel: 7082931122)

πŸ“
Business Mailing Address (Initial Record) July 09, 2007

Registered at 12035 LANCASTER CT, ORLAND PARK, IL 604671143 (Tel: 7083013305)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as MARK CONLIN, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pharmacist

🟒
Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801957782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: January 01, 2021
Sole Proprietor: No

Mailing Address

12035 Lancaster Ct

Orland Park, IL 604671143

Phone: 7083013305

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.