Active NPI
Kalu Bassey Orie, PHARMACIST
- Pharmacist
- Chicago, IL
National Provider Identifier
1215210711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29225
- Practice address
- 2924 E 92ND St
Chicago, IL 60617 - Phone
- (773) 721-6603
- Fax
- (773) 721-2003
- NPI assigned
- Sep 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-033507 | IL | |
| Pharmacist | 183500000X | 29225 | TX | Primary |
| Pharmacist | 183500000X | 26091877A | IN |
Addresses
Primary practice location
2924 E 92ND St
Chicago, IL 60617
Mailing address
2924 E 92ND Street
Chicago, IL 60617
Phone (773) 721-6603
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 |
|---|---|---|---|
| 29225 | TX | MD | Dentist |
| 051-033507 | IL | MD | Pharmacist |
| 26091877A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1215210711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 E 92ND STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "773-721-6603",
"fax_number": "773-721-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 E 92ND ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "773-721-6603",
"fax_number": "773-721-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORIE",
"first_name": "KALU",
"middle_name": "BASSEY",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-033507",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29225",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26091877A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.