Active NPI
Kalpesh Shah
- Pharmacist
- Carol Stream, IL
National Provider Identifier
1316146053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 760 W Army Trail Rd
Carol Stream, IL 60188-9297 - Phone
- (630) 289-3777
- Fax
- (630) 289-4359
- NPI assigned
- Jul 12, 2007
- Last updated
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
760 W Army Trail Rd
Carol Stream, IL 60188-9297
Mailing address
973 Tallgrass Dr
Bartlett, IL 60103-5073
Phone (630) 483-2312
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 |
|---|---|---|---|
| 051041173 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients | |
| American Drug Stores LLC | 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.
-
- Community/Retail Pharmacy
- Diamond, IL
- NPI 1013786706
-
dba Osco Drug #2346
- Community/Retail Pharmacy
- Carol Stream, IL
- NPI 1174579098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1316146053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 TALLGRASS DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601035073",
"telephone_number": "630-483-2312",
"fax_number": "630-289-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 W ARMY TRAIL RD",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601889297",
"telephone_number": "630-289-3777",
"fax_number": "630-289-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KALPESH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.