Active NPI
Kelli Offord, PHARMD
- Pharmacist
- South Chicago Heights, IL
National Provider Identifier
1033547542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051296930
- Practice address
- 3220 Chicago Rd
South Chicago Heights, IL 60411-5421 - Phone
- (708) 756-7775
- NPI assigned
- Oct 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051296930 | IL | Primary |
| Pharmacist | 183500000X | 26025291A | IN |
Addresses
Primary practice location
3220 Chicago Rd
South Chicago Heights, IL 60411-5421
Mailing address
1304 Carrsbrooke Dr Apt 4
Valparaiso, IN 46383-0969
Phone (708) 269-2174
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051296930 | IL | MD | Pharmacist |
| 26025291A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382054400000",
"number": "1033547542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 CARRSBROOKE DR APT 4",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463830969",
"telephone_number": "708-269-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 CHICAGO RD",
"city": "SOUTH CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604115421",
"telephone_number": "708-756-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFORD",
"first_name": "KELLI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-18",
"last_updated": "2013-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051296930",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26025291A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.