Individual provider Active NPI

Katarzyna Zofia Dymon, PHARMD

  • Pharmacist
  • Prospect Heights, IL
National Provider Identifier
1548035264
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051305804 Issued in IL
Practice address
1 N Elmhurst Rd
Prospect Heights, IL 60070-1509
Phone
(847) 398-4673
NPI assigned
Nov 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051305804 IL Primary

Addresses

Primary practice location

1 N Elmhurst Rd
Prospect Heights, IL 60070-1509

Mailing address

1304 E Ironwood Dr
Mount Prospect, IL 60056-1442
Phone (224) 659-4996

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051305804ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1548035264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 E IRONWOOD DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561442",
            "telephone_number": "224-659-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N ELMHURST RD",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701509",
            "telephone_number": "847-398-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMON",
        "first_name": "KATARZYNA",
        "middle_name": "ZOFIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051305804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.