Chicago Consultant Pharmacists, LLC

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

Legal business name

CHICAGO CONSULTANT PHARMACISTS, LLC

Practice address

1110 W 15TH St Unit 226
Chicago, IL 60608-3195

Phone

(312) 788-7633

NPI assigned

Jun 22, 2012

Last updated

Jun 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katelyn Andresen, PHARM.D., CGP

Title

Clinical Director

Phone

(312) 788-7633

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1629331764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W 15TH ST UNIT 226",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 15TH ST UNIT 226",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083195",
            "telephone_number": "312-788-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CONSULTANT PHARMACISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "ANDRESEN",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "312-788-7633",
        "authorized_official_credential": "PHARM.D., CGP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Geriatric Pharmacist in Illinois

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

Verify at the official NPI Registry.