Kaitlyn Perry, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.298830 Issued in IL

Practice address

6210 Main St
Downers Grove, IL 60516-1908

Phone

(630) 968-3276

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kaitlyn.perry@cvshealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highland Park CVS, L.L.C.

  • Pharmacy
  • Downers Grove, IL
  • NPI 1437385549
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1043814007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161908",
            "telephone_number": "630-968-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161908",
            "telephone_number": "630-968-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KAITLYN",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.298830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kaitlyn.perry@cvshealth.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Highland Park CVS, L.L.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6210 Main St",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605161908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Marie Peoples
• Rebecca Perehudoff Minton, MA, ATR, LCPC
• Raul Antonio Perez Lopez
• Paula Dey Perone, CCC-MS, SLP
• Frank Upshaw Perry Jr., D.D.S.
• Personal Path
• Nimisha Perumpel
• Jana Peters, MS
• Eileen M. Peterson, LCSW
• Elizabeth Helen Peterson, MS, OTR/L

• Pharmacist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.