Active NPI
Amanda Kerr
- Pharmacist
- New Lenox, IL
National Provider Identifier
1386244713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.298761
- Practice address
- 501 E Lincoln Hwy
New Lenox, IL 60451-1909 - Phone
- (815) 215-2069
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.298761 | IL | Primary |
| Rehabilitation Practitioner | 225400000X | 051.298761 | IL |
Addresses
Primary practice location
501 E Lincoln Hwy
New Lenox, IL 60451-1909
Mailing address
501 E Lincoln Hwy
New Lenox, IL 60451-1909
Phone (815) 215-2069
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 |
|---|---|---|---|
| 051.298761 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1386244713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E LINCOLN HWY",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604511909",
"telephone_number": "815-215-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E LINCOLN HWY",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604511909",
"telephone_number": "815-215-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.298761",
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "IL",
"license": "051.298761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.