Kedvon Pharmacy Integrations Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054018691 Issued in IL

Legal business name

KEDVON PHARMACY INTEGRATIONS INC

Practice address

770 S Buffalo Grove Rd
Buffalo Grove, IL 60089-3708

Phone

(847) 947-2601

Fax

(847) 947-2326

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Vladlena Korol

Title

President

Phone

(847) 322-8275

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kedvon Pharmacy Integrations, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Kedvon Pharmacy Integrations Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kedvon Pharmacy Integrations Inc

  • Long Term Care Pharmacy
  • Buffalo Grove, IL
  • NPI 1356110969
  NPD tax ID

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613779200000",
    "number": "1104234244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 S BUFFALO GROVE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893708",
            "telephone_number": "847-947-2601",
            "fax_number": "847-947-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S BUFFALO GROVE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893708",
            "telephone_number": "847-947-2601",
            "fax_number": "847-947-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDVON PHARMACY INTEGRATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A",
        "authorized_official_last_name": "KOROL",
        "authorized_official_first_name": "VLADLENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-322-8275"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kedvon Pharmacy Integrations, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kedvon Pharmacy Integrations, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Katsnelson, DMD, MS
• Natasha Katz, M.S.
• Deborah Ann Kayler, OTR/L
• John D Kazanowski, D.D.S.
• Zita Kazlauskiene, LMT
• Kedvon Pharmacy Integrations Inc
• Bridget Kelly
• Kennedy & Limardi Dentistry, P.C.
• Kevin B Zucker DPM PC
• KG Therapy PLLC

• Community/Retail Pharmacy in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.