Richard Clinton Triebes, R.PH.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

051036059 Issued in IL

Practice address

115 E Maple St
New Lenox, IL 60451-1833

Phone

(815) 215-3183

Fax

(815) 768-1772

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Highland Park CVS LLC

  dba CVS Pharmacy #10889

  • Pharmacy
  • New Lenox, IL
  • NPI 1699245662
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1306440987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511833",
            "telephone_number": "815-215-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511833",
            "telephone_number": "815-215-3183",
            "fax_number": "815-768-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEBES",
        "first_name": "RICHARD",
        "middle_name": "CLINTON",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051036059",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051036059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ashraf Toor, MD
• Paul Tortoriello, M.D.
• Total Renal Care Inc (Renal Center New Lenox)
• Julie E Trafton
• Allison Travnik, OTR/L
• Trinity Services Inc.
• Trinity Services Inc.
• Trinity Services Inc.
• Trinity Services Inc.
• Uniquely You Behavioral Health

• Community/Retail Pharmacy in New Lenox, IL
• Providers in New Lenox, 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 Nov 24, 2020; 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.