Active NPI
Demetrius A Dees Jr., CPHT
- Pharmacy Technician
- Chicago, IL
National Provider Identifier
1053148015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 049301520
- Practice address
- 1633 W 95TH St
Chicago, IL 60643-1331 - Phone
- (773) 445-9277
- NPI assigned
- Sep 16, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 049301520 | IL | Primary |
Addresses
Primary practice location
1633 W 95TH St
Chicago, IL 60643-1331
Mailing address
9052 S Loomis St
Chicago, IL 60620-3516
Other practice location 1
2625 Stevenson Dr
Springfield, IL 62703-4393
Phone (217) 529-8185
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049301520 | IL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1053148015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9052 S LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606203516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 W 95TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606431331",
"telephone_number": "773-445-9277"
}
],
"practiceLocations": [
{
"address_1": "2625 Stevenson Dr",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627034393",
"country_code": "US",
"telephone_number": "217-529-8185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEES",
"first_name": "DEMETRIUS",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IL",
"license": "049301520",
"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 Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.