Active NPI
Khushbu Italia, PHARM.D
- Pharmacist
- Galesburg, IL
National Provider Identifier
1407223761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.298739
- Practice address
- 1071 W Carl Sandburg Dr
Galesburg, IL 61401-1343 - Phone
- (309) 344-7886
- NPI assigned
- Aug 21, 2015
- Last updated
- Aug 21, 2015
- 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 | 051.298739 | IL | Primary |
Addresses
Primary practice location
1071 W Carl Sandburg Dr
Galesburg, IL 61401-1343
Mailing address
5146 Belden Ave
Unit G2
Downers Grove, IL 60515-4774
Phone (847) 401-8848
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.298739 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1407223761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5146 BELDEN AVE",
"address_2": "UNIT G2",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154774",
"telephone_number": "847-401-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 W CARL SANDBURG DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011343",
"telephone_number": "309-344-7886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITALIA",
"first_name": "KHUSHBU",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-21",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.298739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, IL
- Natalie J Ince, APRN
- Courtney Nichole Inness
- Integrated Services Incorporated of the Midwest
- Monica Lynn Interial, APN
- Haley Ischer
- J & S Kelly Galesburg L.L.C. (Kelly's Medical Equipment & Supply)
- J a K Enterprises Inc (Bard Optical)
- J.H. Rigsby III, M.D. LLC
- J&S Kelly Galesburg, LLC (Kelly's Medical Equipment & Supply of Illinois)
- Stephanie Megan Jackson, OTD, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.