NPIMap

Organization Active NPI

Kingston Healthcare Consulting, LLC

Doing business as Tu Pharmacy

  • Long Term Care Pharmacy
  • Waukegan, IL
National Provider Identifier
1255047825
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KINGSTON HEALTHCARE CONSULTING, LLC
Doing business as
Tu Pharmacy
Practice address
2702 Grand Ave
Waukegan, IL 60085-2407
Phone
(244) 441-3008
Fax
(224) 441-3016
NPI assigned
Jan 26, 2023
Reactivated
Aug 19, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Dr. Averill Gordon, PHARMDNPI 1164419305
Title
Pharmacist/Owner
Phone
(904) 477-3853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2702 Grand Ave
Waukegan, IL 60085-2407

Mailing address

1282 Chesterfield LN
Grayslake, IL 60030
Phone (904) 477-3853

Other names 1

  • Tu Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kingston Healthcare Consulting LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1255047825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 CHESTERFIELD LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "60030",
            "telephone_number": "904-477-3853",
            "fax_number": "224-252-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852407",
            "telephone_number": "244-441-3008",
            "fax_number": "224-441-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON HEALTHCARE CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "deactivation_date": "2024-02-02",
        "reactivation_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "AVERILL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "904-477-3853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tu Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.