Active NPI
Frank Carl Koster, PHARMMD
- Pharmacist
- Grayslake, IL
National Provider Identifier
1619324167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051299072
- Practice address
- 885 E Belvidere Rd
Grayslake, IL 60030-2581 - Phone
- (847) 543-9106
- Fax
- (847) 543-9124
- NPI assigned
- May 14, 2016
- 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 | 051299072 | IL | Primary |
Addresses
Primary practice location
885 E Belvidere Rd
Grayslake, IL 60030-2581
Mailing address
885 E Belvidere Rd
Grayslake, IL 60030-2581
Phone (847) 543-9106
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051299072 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Grayslake, IL
- NPI 1760438295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463184000000",
"number": "1619324167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 E BELVIDERE RD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302581",
"telephone_number": "847-543-9106",
"fax_number": "847-543-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 E BELVIDERE RD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302581",
"telephone_number": "847-543-9106",
"fax_number": "847-543-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTER",
"first_name": "FRANK",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "PHARMMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-14",
"last_updated": "2016-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.