Active NPI
Nilubol Cencula, RPH
- Pharmacist
- McHenry, IL
National Provider Identifier
1396172813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051296551
- Practice address
- 4201 W Medical Center Dr
McHenry, IL 60050-8409 - Phone
- (815) 344-5000
- Fax
- (815) 759-8090
- NPI assigned
- Sep 29, 2013
- Last updated
- Sep 29, 2013
- 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 | 051296551 | IL | Primary |
Addresses
Primary practice location
4201 W Medical Center Dr
McHenry, IL 60050-8409
Mailing address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 344-5000
Other names 1
- Nilubol Yutiwong
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051296551 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380412800000",
"number": "1396172813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 W MEDICAL CENTER DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508409",
"telephone_number": "815-344-5000",
"fax_number": "815-759-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 W MEDICAL CENTER DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508409",
"telephone_number": "815-344-5000",
"fax_number": "815-759-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENCULA",
"first_name": "NILUBOL",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-29",
"last_updated": "2013-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051296551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NILUBOL",
"last_name": "YUTIWONG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in McHenry, IL
- Catholic Charities - Diocese of Rockford, Il.
- Kathy Lee Caucig, LCPC, CRC
- Stan Cebrzynski, LCPC
- Courtney Rhiannon Cecille
- Eleonora C Cekova, M.D.
- Centegra Clinical Laboratories, LLC
- Centegra Health and Wellness Network
- Centegra Health System
- Centegra Primary Care LLC
- Center for Therapeutic Services & Psychodiagnostics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.