Active NPI
Amberika Kahlon
- Pharmacist
- Libertyville, IL
National Provider Identifier
1336983337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051306323
- Practice address
- 1470 S Milwaukee Ave
Libertyville, IL 60048-3796 - Phone
- (847) 247-0682
- NPI assigned
- Jun 24, 2024
- Last updated
- Jun 30, 2024
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051306323 | IL | Primary |
Addresses
Primary practice location
1470 S Milwaukee Ave
Libertyville, IL 60048-3796
Mailing address
114 S Springside Dr
Round Lake, IL 60073-9612
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 |
|---|---|---|---|
| 051306323 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719705600000",
"number": "1336983337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 S SPRINGSIDE DR",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "600739612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 S MILWAUKEE AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483796",
"telephone_number": "847-247-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHLON",
"first_name": "AMBERIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051306323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.