Active NPI
Kim Michael Graff, RPH
- Pharmacist
- Libertyville, IL
National Provider Identifier
1003052887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-030984
- Practice address
- 5560 Churchill LN
Libertyville, IL 60048-4289 - Phone
- (847) 573-0061
- Fax
- (847) 573-0081
- NPI assigned
- Dec 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-030984 | IL | Primary |
Addresses
Primary practice location
5560 Churchill LN
Libertyville, IL 60048-4289
Mailing address
5560 Churchill LN
Libertyville, IL 60048-4289
Phone (847) 573-0061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-030984 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230249600000",
"number": "1003052887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5560 CHURCHILL LN",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600484289",
"telephone_number": "847-573-0061",
"fax_number": "847-573-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5560 CHURCHILL LN",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600484289",
"telephone_number": "847-573-0061",
"fax_number": "847-573-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAFF",
"first_name": "KIM",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-26",
"last_updated": "2008-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-030984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.