Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447853635 Individual Practitioner Female Practitioner

Dr. Mikendra Wilburn , PharmD

Pharmacist • Richton Park, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mikendra Wilburn, PharmD is a registered healthcare professional specializing in Pharmacist in Richton Park, IL. Practice services are available at 22401 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22401 Central Ave

Richton Park, IL 604712062

Telephone 7085030440
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1487671756

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Richton Park, IL

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

Practicing in Richton Park, 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: 2020-11-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051297161

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License TX 63433

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 1073863965

Doctor of Optometry

Cheryl James

Pharmacist

NPI 1730780081

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2020

Registered at 22401 CENTRAL AVE, RICHTON PARK, IL 604712062 (Tel: 7085030440)

📍
Updated Business Mailing Address November 19, 2020

Registered at 19524 LAKE LYNWOOD DR, LYNWOOD, IL 604111421

👤
Provider Name / Credentials Updated November 19, 2020

Recorded as MIKENDRA WILBURN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2020

Pharmacist (License #051297161 in IL)

🟢
Initial NPI Registration & Enumeration November 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mikendra Wilburn. Be the first to share your experience!

Sign in to leave a review for Dr. Mikendra Wilburn

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1447853635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2020
Last Update: November 19, 2020
Sole Proprietor: Yes

Mailing Address

19524 Lake Lynwood Dr

Lynwood, IL 604111421

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.