Skyla Koepke, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.305997 Issued in IL

Practice address

5900 N 2ND St
Loves Park, IL 61111-4647

Phone

(815) 282-2077

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Walgreen Co

  • Pharmacy
  • Loves Park, IL
  • NPI 1437164654
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1396510509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 HONEY LAKE RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472260",
            "telephone_number": "224-828-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N 2ND ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114647",
            "telephone_number": "815-282-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "SKYLA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.305997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kim
• Lenney G. Kizhakepunnur, M.D.
• Janelle Kloch, APN
• Jessica Knoll, APN
• Polly M. Knowland, C.R.N.A.
• Sravantika Koneru, MD
• Corey Dane Konieczki, DMD
• Michael Demetrios Kouimelis, MD
• Elizabeth Kroening, MSW, LCSW
• Laboratory Corporation of America

• Pharmacist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.