M Kathleen Dyke, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.036943 Issued in IL

Practice address

1901 1St Ave
Rock Falls, IL 61071-3504

Phone

(815) 626-6803

Fax

(815) 626-6818

NPI assigned

Sep 27, 2019

Last updated

Sep 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• M Kathy Dyke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Rock Falls, IL
  • NPI 1265459523
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1104477421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610713504",
            "telephone_number": "815-626-6803",
            "fax_number": "815-626-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610713504",
            "telephone_number": "815-626-6803",
            "fax_number": "815-626-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKE",
        "first_name": "M",
        "middle_name": "KATHLEEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.036943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "DYKE",
            "middle_name": "KATHY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Curewell Diagnostic Services LLC
• Loretta Lynn Dahler, LPN
• Tyler Lee Davis, PHARMD,
• Daniel Charles Doddroe, PHARMD.
• Robert Dorman, D.O.
• East Coloma - Nelson Cesd 20
• East Coloma SCH Dist 12
• Andrea Lynn Engelkens, NBCC LCPC
• Jennifer Lynn Foust, RPH
• Tracy Fowkes

• Pharmacist in Rock Falls, IL
• Providers in Rock Falls, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.