Active NPI
Kathryn Myers
- Pharmacist
- Antioch, IL
National Provider Identifier
1154920619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051287811
- Practice address
- 475 E Il Route 173
Antioch, IL 60002-9406 - Phone
- (847) 838-3184
- NPI assigned
- Oct 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 051287811 | IL | Primary |
Addresses
Primary practice location
475 E Il Route 173
Antioch, IL 60002-9406
Mailing address
475 E Il Route 173
Antioch, IL 60002-9406
Phone (847) 838-3184
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 |
|---|---|---|---|
| 051287811 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1154920619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 E IL ROUTE 173",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600029406",
"telephone_number": "847-838-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 E IL ROUTE 173",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600029406",
"telephone_number": "847-838-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-25",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051287811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.