NISHA MATHEW
NPI 1376990820
Pharmacist in Crystal Lake, IL

Active since May 14, 2016
6140 NORTHWEST HWY, CRYSTAL LAKE, IL 60014(815) 356-8767(815) 356-8790 Get Directions Write a Review

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

About Nisha Mathew NPPES

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

NISHA MATHEW (NPI 1376990820) is an individual pharmacist in Crystal Lake, Illinois, licensed in Illinois (IL051040206) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1376990820
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameNISHA MATHEW
Location Address6140 NORTHWEST HWYCrystal Lake, IL 60014-7931
Mailing Address6140 Northwest HwyCrystal Lake, IL 60014-7931 · (815) 356-8767 · Fax (815) 356-8790
Fax(815) 356-8790
Sole ProprietorNo
Enumeration DateMay 14, 2016
NPI 1376990820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · IL051040206
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.

6140 NORTHWEST HWY, Crystal Lake, IL 60014

Other Providers at the Same Location NPPES 5

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

Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
Pharmacy (Community/Retail Pharmacy)
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376990820, enumerated as an "individual" on May 14, 2016.

The provider is located at 6140 NORTHWEST HWY CRYSTAL LAKE, IL 60014 and the phone number is (815) 356-8767.

Pharmacist with taxonomy code 183500000X.