Kendall Kotter, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.303181 Issued in IL

Practice address

300 E Jackson St
Macomb, IL 61455-2307

Phone

(309) 837-2436

NPI assigned

Aug 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Collinsville, IL
  • NPI 1154336311
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1730791005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552307",
            "telephone_number": "309-837-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552307",
            "telephone_number": "309-837-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTER",
        "first_name": "KENDALL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.303181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aman Khurana, MD
• Derek Brian King, D.C.
• Sabrina Kleparski
• Tracy Albert Knight, PH.D.
• Steven M Koch, ATC
• Shanna S Krause, ANP-FNP-BC
• Wayne J Kubasak, MS, LCPC
• Irving Kwong
• Kyte River Emergency Physicians PLLC
• Jessica Laber, A.T.C./L

• Pharmacist in Macomb, IL
• Providers in Macomb, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; 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.