Active NPI
Kendrick Khuram Jared, PHARMD
- Pharmacist
- Schaumburg, IL
National Provider Identifier
1619673464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.305366
- Practice address
- 1855 W Irving Park Rd
Schaumburg, IL 60193-3516 - Phone
- (630) 893-5570
- Fax
- (630) 893-5576
- NPI assigned
- Feb 3, 2023
- 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 | 051.305366 | IL | Primary |
Addresses
Primary practice location
1855 W Irving Park Rd
Schaumburg, IL 60193-3516
Mailing address
201 Comstock Dr
Elgin, IL 60124-3811
Phone (630) 277-3077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.305366 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1619673464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 COMSTOCK DR",
"city": "ELGIN",
"state": "IL",
"postal_code": "601243811",
"telephone_number": "630-277-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W IRVING PARK RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933516",
"telephone_number": "630-893-5570",
"fax_number": "630-893-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARED",
"first_name": "KENDRICK",
"middle_name": "KHURAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.305366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.