Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316559990 Individual Practitioner Male Practitioner

Mitchell James Broderick , RPH

Pharmacist • Oak Lawn, IL

Professional Overview & Biography Verified Profile Summary

Mitchell Broderick, RPH is a registered healthcare professional specializing in Pharmacist in Oak Lawn, IL. Practice services are available at 4440 W 95TH ST STE 201P under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4440 W 95th St Ste 201p

Oak Lawn, IL 604532600

Telephone 7088571935
Fax 7088571965
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1881018182

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Oak Lawn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
87 Specialists

Practicing in Oak Lawn, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051.300912

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1063025013

Doctor of Pharmacy (Pharm.D.)

NPI 1245909985

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2020

Registered at 4440 W 95TH ST STE 201P, OAK LAWN, IL 604532600 (Tel: 7088571935)

📍
Updated Business Mailing Address August 17, 2020

Registered at 4440 W 95TH ST STE 201P, OAK LAWN, IL 604532600 (Tel: 7088571935)

👤
Provider Name / Credentials Updated August 17, 2020

Recorded as MITCHELL BRODERICK, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2020

Pharmacist (License #051.300912 in IL)

🟢
Initial NPI Registration & Enumeration August 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316559990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2020
Last Update: August 17, 2020
Sole Proprietor: No

Mailing Address

4440 W 95th St Ste 201p

Oak Lawn, IL 604532600

Phone: 7088571935

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.