Individual provider Active NPI

Phyllis Lee Lulinski, RPH

  • Pharmacist
  • Hines, IL
National Provider Identifier
1427212265
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.024923 Issued in IL
Practice address
5000 5TH Avenue
VA Cmop Building 37
Hines, IL 60141-5000
Phone
(708) 786-7820
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.024923 IL Primary

Addresses

Primary practice location

5000 5TH Avenue
VA Cmop Building 37
Hines, IL 60141-5000

Mailing address

1429 Scotdale Rd
La Grange Park, IL 60526-1034
Phone (708) 352-4759

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

LicenseStateTypeSpecialty
051.024923ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hines VA Cmop Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1427212265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 SCOTDALE RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261034",
            "telephone_number": "708-352-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 5TH AVENUE",
            "address_2": "VA CMOP BUILDING 37",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415000",
            "telephone_number": "708-786-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULINSKI",
        "first_name": "PHYLLIS",
        "middle_name": "LEE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.024923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.