Individual provider Active NPI

Amy Stechly

  • Pharmacist
  • Tinley Park, IL
National Provider Identifier
1457955502
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051298766 Issued in IL
Practice address
9551 171St St
Tinley Park, IL 60487-6109
Phone
(708) 873-0062
Fax
(708) 873-1820
NPI assigned
Nov 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051298766 IL Primary

Addresses

Primary practice location

9551 171St St
Tinley Park, IL 60487-6109

Mailing address

15723 Lake Hills CT Unit 1S
Orland Park, IL 60462-7982
Phone (708) 712-8589

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

State licenses

LicenseStateTypeSpecialty
051298766ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1457955502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15723 LAKE HILLS CT UNIT 1S",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627982",
            "telephone_number": "708-712-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 171ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876109",
            "telephone_number": "708-873-0062",
            "fax_number": "708-873-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECHLY",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051298766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.