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DR. MITCHELL JAMES BRODERICK RPH
NPI 1316559990
Pharmacist in Oak Lawn, IL

Active since August 17, 2020
4440 W 95TH ST STE 201P, OAK LAWN, IL 60453(708) 857-1935(708) 857-1965 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mitchell James Broderick Rph NPPES

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

DR. MITCHELL JAMES BRODERICK RPH (NPI 1316559990) is an individual pharmacist in Oak Lawn, Illinois, licensed in Illinois (051.300912) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1316559990
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. MITCHELL JAMES BRODERICKCredential: RPH
Location Address4440 W 95TH ST STE 201POak Lawn, IL 60453-2600
Mailing Address4440 W 95th St Ste 201pOak Lawn, IL 60453-2600 · (708) 857-1935 · Fax (708) 857-1965
Phone(708) 857-1935
Fax(708) 857-1965
Sole ProprietorNo
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1316559990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IL · 051.300912
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.
4440 W 95TH ST STE 201P, Oak Lawn, IL 60453
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELA SOFIA ZICCARELLI PHARM.D
Pharmacist
4440 W 95TH ST STE 201P
OAK LAWN, IL 60453
Cook County (708) 857-1935
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Pharmacy
4440 W 95TH ST STE 201P
OAK LAWN, IL 60453
Cook County (708) 520-8460
WALGREEN CO
Pharmacy
4440 W 95TH ST STE 201P
OAK LAWN, IL 60453
Cook County (708) 857-1935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Broderick's NPI number?

The NPI number for Mitchell Broderick is 1316559990. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Mitchell Broderick located?

Mitchell Broderick practices at 4440 W 95th St Ste 201P, Oak Lawn, IL 60453. The listed phone number is (708) 857-1935.

What is Mitchell Broderick's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mitchell Broderick was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.