Active NPI
Mary Ann Kaminski, PHARMD, BCACP
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Chicago, IL
National Provider Identifier
1033550322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 051291966
- Practice address
- 2003 W Fulton St
402
Chicago, IL 60612-2345 - Phone
- (312) 202-3500
- NPI assigned
- Jul 15, 2013
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051291966 | IL | Primary |
Addresses
Primary practice location
2003 W Fulton St
402
Chicago, IL 60612-2345
Mailing address
1535 N Wicker Park Ave
#2E
Chicago, IL 60622-1919
Phone (773) 307-6842
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 |
|---|---|---|---|
| 051291966 | IL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1033550322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 N WICKER PARK AVE",
"address_2": "#2E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221919",
"telephone_number": "773-307-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 W FULTON ST",
"address_2": "402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122345",
"telephone_number": "312-202-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "MARY ANN",
"name_prefix": "Dr.",
"credential": "PHARMD, BCACP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051291966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.