Kevin Frye, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051299201 Issued in IL

Practice address

206 E Main St
Princeville, IL 61559-7516

Phone

(309) 385-4955

NPI assigned

Jan 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Princeville Pharmacy LLC

  • Community/Retail Pharmacy
  • Princeville, IL
  • NPI 1750455127
  NPD Authorized official
• Sherman'S Pharmacy Co.

  • Community/Retail Pharmacy
  • Brimfield, IL
  • NPI 1568527679
  NPD Authorized official

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1598355877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "PRINCEVILLE",
            "state": "IL",
            "postal_code": "615590566",
            "telephone_number": "309-385-4955",
            "fax_number": "309-385-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "PRINCEVILLE",
            "state": "IL",
            "postal_code": "615597516",
            "telephone_number": "309-385-4955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 E Knoxville St",
            "address_purpose": "LOCATION",
            "city": "Brimfield",
            "state": "IL",
            "postal_code": "615178010",
            "country_code": "US",
            "telephone_number": "309-446-3292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051299201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-PRINCEVILLE PHARMACY",
            "identifier": "1750455127",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://dph.partner.illinois.gov/my.policy",
            "affiliation": "N",
            "endpointDescription": "IDPH Web portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "91 E Knoxville St",
            "city": "Brimfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "615178010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Akron Princeville Ambulance Inc
• Community Health Partnership of Illinois
• Community Health Partnership of Illinois
• Compass Counseling Center, LLC
• Kody Frye, PHARM.D
• Mark S Holder, M.D.
• Kathleen A Humphreys, DT
• Iowa Physicians Clinic Medical Foundation
• Jodie Anne Loesch, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.