Luke Frey

Primary specialty

PharmacyTaxonomy code 333600000X

License

S024148 Issued in AZ

Practice address

1202 State St
Lemont, IL 60439-4489

Phone

(630) 243-1803

NPI assigned

Nov 26, 2020

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

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 and National Provider Directory roles.

• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
  • NPI 1013786706
  NPD (past)
• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Lemont, IL
  • NPI 1225076466
  NPD (past)
• Raley'S Arizona LLC

  • Community/Retail Pharmacy
  • Gilbert, AZ
  • NPI 1619179983
  NPD (past)
• Raley'S Arizona LLC

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1720190713
  NPD (past)

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1396349684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S ROSE AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683730",
            "telephone_number": "847-309-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394489",
            "telephone_number": "630-243-1803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Irvington Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857141167",
            "country_code": "US",
            "telephone_number": "520-434-6921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREY",
        "first_name": "LUKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "051303584",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "S024148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Edward Forzley, D.C.
• Samuel Joseph Forzley, O.D.
• Franciscan Communities Inc. II
• Franciscan Communities, Inc
• Fresenius Medical Care Lemont, LLC
• Cheryl A Frost, LCPC
• Dainius Gabrenas
• Laura Geerdes
• Laura Genslinger, M. EDS
• Gentle Care Transportation

• Pharmacy in Lemont, IL
• Providers in Lemont, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.