Jonathan Skiest, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.040722 Issued in IL

Practice address

505 W Army Trail Road
Costco Pharmacy
Bloomingdale, IL 60108

Phone

(630) 351-3037

Fax

(630) 351-3124

NPI assigned

Oct 12, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1174808091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W ARMY TRAIL ROAD",
            "address_2": "COSTCO PHARMACY",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-351-3037",
            "fax_number": "630-351-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W ARMY TRAIL ROAD",
            "address_2": "COSTCO PHARMACY",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-351-3037",
            "fax_number": "630-351-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIEST",
        "first_name": "JONATHAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.040722",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "21846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliud Miguel Sierra Jr., DC
• Allison A Sikorsky, DNP, APRN, PMHNP
• Michael James Sinopoli, D.D.S.
• Deborah Christine Skawski, PT
• Sandi Skawski, PTA
• Joshua Skirbunt
• Jeanine E Skudlarek, LCPC
• Aleksandra Anna Skwarek, SLPA A.A.S
• Sleep Well, LLC
• Ronald Slonek, MD

• Pharmacist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.