Svetlana Kostyukova, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051296958 Issued in IL

Practice address

1128 Tower LN
Bensenville, IL 60106-1028

Phone

(847) 759-1840

NPI assigned

Nov 18, 2020

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: cvs@mail.com

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1508469958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 IL -173",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600993875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 TOWER LN",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601061028",
            "telephone_number": "847-759-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTYUKOVA",
        "first_name": "SVETLANA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051296958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "Rxconmect",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1128 Tower Ln",
            "city": "Bensenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601061028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "Rxconmect",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1128 Tower Ln",
            "city": "Bensenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601061028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "Rxconmect",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1128 Tower Ln",
            "city": "Bensenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601061028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cvs@mail.com",
            "affiliation": "N",
            "address_1": "1128 Tower Ln",
            "city": "Bensenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601061028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael David Jones, RPH
• Fazila Khan
• Maliha Khan
• KND Health Care Services SC (Prime Care Pharmacy)
• Claudia Koch
• Melody Kraft
• Nancy Catherine Kray, MOT, OTR/L
• Aliia Kyiashbaeva
• La Raza Medical Center
• Donald Lamb

• Pharmacist in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.