Active NPI
Lisa Ann Cieski, RPH
- Pharmacist
- Lemont, IL
National Provider Identifier
1457632564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-036016
- Practice address
- 15575 E 127TH St
Lemont, IL 60439-4433 - Phone
- (630) 257-9250
- Fax
- (630) 910-3687
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Pharmacy
- Lemont, IL
- NPI 1720093040
-
- Pharmacy
- Woodridge, IL
- NPI 1790790954
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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 |
|---|---|---|---|
| 051-036016 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-036016 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
15575 E 127TH St
Lemont, IL 60439-4433
Mailing address
15575 E 127TH St
Lemont, IL 60439-4433
Phone (306) 257-9250
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362127039065 | Medicaid | IL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2021.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1457632564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15575 E 127TH ST",
"city": "LEMONT",
"state": "IL",
"postal_code": "604394433",
"telephone_number": "306-257-9250",
"fax_number": "630-910-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15575 E 127TH ST",
"city": "LEMONT",
"state": "IL",
"postal_code": "604394433",
"telephone_number": "630-257-9250",
"fax_number": "630-910-3687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIESKI",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-036016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362127039065",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lemont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.