IndividualActive
Glen Ezaki, RPH
NPI 1477658078 · Pharmacist · Chicago, IL
Glen Ezaki, RPH is a Pharmacist provider in Chicago, IL (NPI 1477658078).
Provider details
- NPI number
- 1477658078
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 S Damen Ave
(119)
Chicago, IL 60612-3728
Phone: (312) 565-7109
Fax: (312) 569-8028
Street-level locationGet directions
Mailing address
155 N Harbor Dr
Chicago, IL 60601-7364
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2007-07-08
Frequently asked questions
- What is Glen Ezaki's NPI number?
- Glen Ezaki's National Provider Identifier (NPI) is 1477658078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Ezaki's specialty?
- Glen Ezaki is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Glen Ezaki located?
- Glen Ezaki's practice location on file with NPPES is 820 S Damen Ave, Chicago, IL 60612-3728.
- What is Glen Ezaki's phone number?
- The practice phone number listed in the NPPES registry for Glen Ezaki is (312) 565-7109.
- Is Glen Ezaki's NPI active?
- Yes — Glen Ezaki's NPI (1477658078) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.