Jacqueline Mary Knightly, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

049.221869 Issued in IL

Practice address

11000 S Cicero Ave
Oak Lawn, IL 60453-5504

Phone

(708) 346-0698

NPI assigned

Aug 30, 2018

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1528540143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 S SPRINGFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553714",
            "telephone_number": "773-633-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535504",
            "telephone_number": "708-346-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTLY",
        "first_name": "JACQUELINE",
        "middle_name": "MARY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "049.221869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Klus
• Kristin Nicole Klutcharch, DMD
• Natalie Kmetuk, DO
• Kelly Kathleen Knapczyk, LCPC
• Daniel Jeffrey Knapp Jr.
• Terra L Knowles, M.A.
• Choong H Koh, M.D.
• Lynn M Kohles, RNFA
• Cheryl Kohutynski, RPH
• Thomas L Kolacki, P.T.

• Pharmacist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.