KEITH MIERZWA
NPI 1043660707
Pharmacist in Antioch, IL

Active since June 14, 2016
966 ROUTE 59, ANTIOCH, IL 60002(847) 395-7101(847) 395-3112 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keith Mierzwa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH MIERZWA (NPI 1043660707) is an individual pharmacist in Antioch, Illinois, licensed in Illinois (051033283) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1043660707
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKEITH MIERZWA
Location Address966 ROUTE 59Antioch, IL 60002
Mailing Address966 Route 59Antioch, IL 60002 · (847) 395-7101 · Fax (847) 395-3112
Fax(847) 395-3112
Sole ProprietorNo
Enumeration DateJune 14, 2016
NPI 1043660707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051033283
Definition

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.

966 ROUTE 59, Antioch, IL 60002

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
966 ROUTE 59
ANTIOCH, IL 60002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043660707, enumerated as an "individual" on June 14, 2016.

The provider is located at 966 ROUTE 59 ANTIOCH, IL 60002 and the phone number is (847) 395-7101.

Pharmacist with taxonomy code 183500000X.