DR. MIKENDRA WILBURN PHARMD
NPI 1447853635
Pharmacist in Richton Park, IL

Active since November 19, 2020
22401 CENTRAL AVE, RICHTON PARK, IL 60471(708) 503-0440 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mikendra Wilburn Pharmd NPPES

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

DR. MIKENDRA WILBURN PHARMD (NPI 1447853635) is an individual pharmacist in Richton Park, Illinois, licensed in Illinois (051297161) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1447853635
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. MIKENDRA WILBURNCredential: PHARMD
Location Address22401 CENTRAL AVERichton Park, IL 60471-2062
Mailing Address19524 Lake Lynwood DrLynwood, IL 60411-1421
Sole ProprietorYes
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 13, 2020
NPI 1447853635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in IL · 051297161 Licensed in TX · 63433
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.
22401 CENTRAL AVE, Richton Park, IL 60471

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.

Optometrist
22401 CENTRAL AVE
RICHTON PARK, IL 60471
Pharmacy (Community/Retail Pharmacy)
22401 CENTRAL AVE
RICHTON PARK, IL 60471
Optometrist
22401 CENTRAL AVE
RICHTON PARK, IL 60471
Pharmacist
22401 CENTRAL AVE
RICHTON PARK, IL 60471
Optometrist
22401 CENTRAL AVE
RICHTON PARK, IL 60471

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 Mikendra Wilburn's NPI number?

The NPI number for Mikendra Wilburn is 1447853635. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Mikendra Wilburn located?

Mikendra Wilburn practices at 22401 Central Ave, Richton Park, IL 60471. The listed phone number is (708) 503-0440.

What is Mikendra Wilburn'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 Mikendra Wilburn was last updated on November 19, 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.