Kedvon Pharmacy Solutions, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054-017721 Issued in IL

Legal business name

KEDVON PHARMACY SOLUTIONS, INC.

Practice address

56 South Milwaukee Ave.
Wheeling, IL 60090

Phone

(847) 459-0001

Fax

(847) 947-2972

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Vladlena Korol, PHARM.D.NPI 1730384629

Title

President

Phone

(847) 459-0001

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladlena Korol, PHARMD

  • Pharmacist
  • Wheeling, IL
  • NPI 1730384629
  NPD Authorized official
• Agnieszka Krol, PHARMACIST

  • Pharmacist
  • Wheeling, IL
  • NPI 1699353235
  NPD
• Yevheniya Rostovska, BPHARM

  • Pharmacist
  • Crystal Lake, IL
  • NPI 1679165765
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1629351077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SO. MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-459-0001",
            "fax_number": "847-947-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SOUTH MILWAUKEE AVE.",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-459-0001",
            "fax_number": "847-947-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDVON PHARMACY SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "KOROL",
        "authorized_official_first_name": "VLADLENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-459-0001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054-017721",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "054-017721",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054-07721",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-017721",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IL",
            "license": "054-07721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "054-017721",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Shea Kalvig
• Ji Min Kang
• David Robert Kaplan, L.C.P.C.
• Mary Voight Kay, MS
• Kedvon Pharmacy Inc (Kedvon Health, Inc.)
• Peggy Patrizia Keese, MA
• Kenneth Portnoy
• Lindsey Sarah Kessler, MA
• Tatyana Khait, DDS
• Madhulika Khare, MS

• Community/Retail Pharmacy in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.