Kirby Foods Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054006911 Issued in IL

Legal business name

KIRBY FOODS INC

Doing business as

Kirby Pharmacy

Practice address

101 S Merchant St
Effingham, IL 62401

Phone

(217) 342-4301

Fax

(217) 342-5597

NPI assigned

Aug 10, 2006

Last updated

Dec 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Stewart

Title

Cfo

Phone

(217) 352-2600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kirby Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Courtney J Beaumont, RPH

  • Pharmacist
  • Effingham, IL
  • NPI 1770702359
  NPD
• Jeffrey David Lakins, RPH

  • Pharmacist
  • Effingham, IL
  • NPI 1104044601
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1275544777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MERCHANT ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012425",
            "telephone_number": "217-342-4301",
            "fax_number": "217-342-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MERCHANT ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-342-4301",
            "fax_number": "217-342-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "217-352-2600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054006911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370732738001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2017591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirby Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Kerrigan
• Melissa Kersey, BS
• Lori K Kessler, RN
• Yesul Kim
• Kristi Rae Kinney, LCPC
• Joseph Paul Kirk, D.C.
• Sara Kirkpatrick, QMPH
• Samantha Lauren Kledzik, LCPC
• Katelyn Jule Klosterman
• Thomas Knape

• Community/Retail Pharmacy in Effingham, IL
• Providers in Effingham, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.