Provider Demographics
NPI:1194603266
Name:ESPARZA, OSCAR (PHARMD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:ESPARZA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12525 S TRUMBULL AVE
Mailing Address - Street 2:
Mailing Address - City:ALSIP
Mailing Address - State:IL
Mailing Address - Zip Code:60803-1033
Mailing Address - Country:US
Mailing Address - Phone:708-691-1955
Mailing Address - Fax:
Practice Address - Street 1:12290 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:ALSIP
Practice Address - State:IL
Practice Address - Zip Code:60803-1405
Practice Address - Country:US
Practice Address - Phone:708-385-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051307146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist