Active NPI
Peter Charles Puleo, R.PH.
- Pharmacist
- Skokie, IL
National Provider Identifier
1609148246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10756-40
- Practice address
- 5510 Howard St
Skokie, IL 60077-2620 - Phone
- (847) 588-7170
- Fax
- (847) 588-7060
- NPI assigned
- Jan 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10756-40 | WI | Primary |
Addresses
Primary practice location
5510 Howard St
Skokie, IL 60077-2620
Mailing address
321 Creekside PL
Delavan, WI 53115-2129
Phone (262) 725-6238
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10756-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327708800000",
"number": "1609148246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 CREEKSIDE PL",
"city": "DELAVAN",
"state": "WI",
"postal_code": "531152129",
"telephone_number": "262-725-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 HOWARD ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772620",
"telephone_number": "847-588-7170",
"fax_number": "847-588-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULEO",
"first_name": "PETER",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-28",
"last_updated": "2012-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10756-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.