Active NPI
Thomas Lee Edmons, R.PH.
- Pharmacist
- Kildeer, IL
National Provider Identifier
1689958167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05132040
- Practice address
- 22257 W Honey Ridge CT
Kildeer, IL 60047-3302 - Phone
- (847) 800-8043
- Fax
- (847) 847-7936
- NPI assigned
- Oct 3, 2011
- Last updated
- Oct 3, 2011
- 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 | 05132040 | IL | Primary |
Addresses
Primary practice location
22257 W Honey Ridge CT
Kildeer, IL 60047-3302
Mailing address
22257 W Honey Ridge CT
Kildeer, IL 60047-3302
Phone (847) 800-8043
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05132040 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1689958167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22257 W HONEY RIDGE CT",
"city": "KILDEER",
"state": "IL",
"postal_code": "600473302",
"telephone_number": "847-800-8043",
"fax_number": "847-847-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22257 W HONEY RIDGE CT",
"city": "KILDEER",
"state": "IL",
"postal_code": "600473302",
"telephone_number": "847-800-8043",
"fax_number": "847-847-7936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONS",
"first_name": "THOMAS",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "05132040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kildeer, IL
- Citadel Home Care (Citadel Companies)
- Cody Colleen Todd (Red Tail Clinical Counseling)
- Corewellness Medical
- Pragna Mukesh Dholakia, APRN
- Dyer Dentistry Services (Studio Smiles)
- Nicholas C. Frisch, M.D.
- Guy William Garozzo, D.C.
- Georgina Govostis, ATC
- Cristiane Megumi Hayato Unseth, PA-C
- Sejal N Jhaveri, MSN, RN, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.