Active NPI
Bradley Steven Kuhns
- Pharmacist
- Effingham, IL
National Provider Identifier
1689113748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051297759
- Practice address
- 805 W Fayette Ave
Effingham, IL 62401-2415 - Phone
- (217) 343-9393
- NPI assigned
- Feb 21, 2017
- Last updated
- Aug 10, 2019
- 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 | 051297759 | IL | Primary |
Addresses
Primary practice location
805 W Fayette Ave
Effingham, IL 62401-2415
Mailing address
805 W Fayette Ave
Effingham, IL 62401-2415
Phone (217) 342-9393
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 |
|---|---|---|---|
| 051297759 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G M Andes LTD | Past | Accepting new patients | |
| G M Andes LTD | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565395200000",
"number": "1689113748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W FAYETTE AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012415",
"telephone_number": "217-342-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W FAYETTE AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012415",
"telephone_number": "217-343-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUHNS",
"first_name": "BRADLEY",
"middle_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-21",
"last_updated": "2019-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051297759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.