Active NPI
William Joseph Kalman
- Pharmacist
- Peoria, IL
National Provider Identifier
1255415865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-037929
- Practice address
- 4625 N University St
Peoria, IL 61614-5828 - Phone
- (309) 681-8850
- Fax
- (309) 681-8856
- NPI assigned
- Oct 24, 2006
- Last updated
- May 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-037929 | IL | Primary |
Addresses
Primary practice location
4625 N University St
Peoria, IL 61614-5828
Mailing address
4625 N University St
Peoria, IL 61614-5828
Phone (309) 681-8850
Other practice location 1
318 S Plaza Park
Chillicothe, IL 61523-2214
Phone (309) 274-9571
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 |
|---|---|---|---|
| 051-037929 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bulldog Alliance Inc. | Past | Accepting new patients | |
| Kalman Health & Wellness Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Essential Wellness Pharmacy 2
- Community/Retail Pharmacy
- Peoria, IL
- NPI 1548496409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1255415865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 N UNIVERSITY ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145828",
"telephone_number": "309-681-8850",
"fax_number": "309-681-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 N UNIVERSITY ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145828",
"telephone_number": "309-681-8850",
"fax_number": "309-681-8856"
}
],
"practiceLocations": [
{
"address_1": "318 S Plaza Park",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "IL",
"postal_code": "615232214",
"country_code": "US",
"telephone_number": "309-274-9571",
"fax_number": "309-274-8630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALMAN",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-037929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.