Active NPI
Lori Lee Gilmour, R. PH.
- Pharmacist
- Naperville, IL
National Provider Identifier
1093087199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051291054
- Practice address
- 1247 Rickert Dr
Suite #100
Naperville, IL 60540-1008 - Phone
- (630) 355-6400
- Fax
- (630) 355-6544
- NPI assigned
- Feb 3, 2012
- 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 | 051291054 | IL | Primary |
| Pharmacist | 183500000X | 03222973 | OH |
Addresses
Primary practice location
1247 Rickert Dr
Suite #100
Naperville, IL 60540-1008
Mailing address
1247 Rickert Dr
Suite #100
Naperville, IL 60540-1008
Phone (630) 355-6400
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051291054 | IL | MD | Pharmacist |
| 03222973 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Avenue Pharmacy Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Naperville, IL
- NPI 1609806983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1093087199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 RICKERT DR",
"address_2": "SUITE #100",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605401008",
"telephone_number": "630-355-6400",
"fax_number": "630-355-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 RICKERT DR",
"address_2": "SUITE #100",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605401008",
"telephone_number": "630-355-6400",
"fax_number": "630-355-6544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMOUR",
"first_name": "LORI",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-03",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051291054",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03222973",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.