Active NPI
Lori Gallus, PHARMD
- Pharmacist
- Riverdale, IL
National Provider Identifier
1053087734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051303651
- Practice address
- 250 W 144TH St
Riverdale, IL 60827-2733 - Phone
- (708) 849-5512
- NPI assigned
- Aug 21, 2021
- Last updated
- Aug 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051303651 | IL | Primary |
Addresses
Primary practice location
250 W 144TH St
Riverdale, IL 60827-2733
Mailing address
19 Cliffside Circle Dr
Willow Springs, IL 60480-1396
Phone (312) 218-2890
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 |
|---|---|---|---|
| 051303651 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629504000000",
"number": "1053087734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CLIFFSIDE CIRCLE DR",
"city": "WILLOW SPRINGS",
"state": "IL",
"postal_code": "604801396",
"telephone_number": "312-218-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 144TH ST",
"city": "RIVERDALE",
"state": "IL",
"postal_code": "608272733",
"telephone_number": "708-849-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLUS",
"first_name": "LORI",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-21",
"last_updated": "2021-08-21",
"certification_date": "2021-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051303651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.