Pee Dee Kay Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54013902 Issued in IL

Legal business name

PEE DEE KAY INC

Doing business as

Chicago Kedzie Drugs

Practice address

4054 W North Ave
Chicago, IL 60639-5223

Phone

(773) 486-2684

Fax

(773) 486-2742

NPI assigned

Jun 21, 2006

Last updated

Mar 19, 2014By 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

Ronak Maner, RPH

Title

Pharmacist

Phone

(773) 486-2684

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CHICAGO KEDZIE DRUGS Doing business as

Locations

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1639115439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395223",
            "telephone_number": "773-486-2684",
            "fax_number": "773-486-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395223",
            "telephone_number": "773-486-2684",
            "fax_number": "773-486-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE KAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "MANER",
        "authorized_official_first_name": "RONAK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "773-486-2684",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "54013902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2024710",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHICAGO KEDZIE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Pedraza Jr.
• Carlos Frank Pedrera, MD
• Pedro Lopez, M.D., LTD
• Stephanie E Pedroza, PA-C
• Pedscare SC
• Pee Dee Kay, Inc.
• Cheryl Larice Peek, MSW
• James Peek, CADC
• Monica E. Peek, M.D., M.P.H.
• Otis Peeples

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, 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 19, 2014; 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.