Active NPI
Kavita Rani Palla, PHARMD
- Pharmacotherapy Pharmacist
- Hines, IL
National Provider Identifier
1285726166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051-037435
- Practice address
- 5TH and Roosevelt Ave
Pharmacy Services (119)
Hines, IL 60141 - Phone
- (170) 820-2838
- Fax
- (170) 820-2216
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 051-037435 | IL | Primary |
Addresses
Primary practice location
5TH and Roosevelt Ave
Pharmacy Services (119)
Hines, IL 60141
Mailing address
5TH & Roosevelt Ave
Hines, IL 60141
Phone (170) 820-2838
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-037435 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1285726166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5TH & ROOSEVELT AVE",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "170-820-2838",
"fax_number": "170-820-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5TH AND ROOSEVELT AVE",
"address_2": "PHARMACY SERVICES (119)",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "170-820-2838",
"fax_number": "170-820-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLA",
"first_name": "KAVITA",
"middle_name": "RANI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051-037435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.