Patcharavi Akramunkongvanich, PHARMD
Individual provider Active NPI Pharmacist · Wheaton, IL
NPI 1265046049 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1265046049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.300933 (IL)
- Practice address
- 2020 S Naperville Rd # RS
Wheaton, IL 60189-8171 - Phone
- (630) 682-2582
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.300933 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
2020 S Naperville Rd
Wheaton, IL 60189
Phone (630) 682-2582
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.300933 | IL | Yes |
Addresses
Primary practice location
2020 S Naperville Rd # RS
Wheaton, IL 60189-8171
Mailing address
2020 S Naperville Rd # RS
Wheaton, IL 60189-8171
Phone (630) 682-2582
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rxm.13861@store.walgreens.com | Direct |
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.