NPIMap

Organization Active NPI

Thies Lombard Pharmacy Inc

  • Mail Order Pharmacy
  • Lombard, IL
National Provider Identifier
1740929389
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
THIES LOMBARD PHARMACY INC
Practice address
211 S Main St
Lombard, IL 60148-2678
Phone
(630) 495-2333
Fax
(630) 495-2355
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Dr. Clarke Allan Kueltzo, PHARMD
Title
President
Phone
(630) 495-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

211 S Main St
Lombard, IL 60148-2678

Mailing address

211 S Main St
Lombard, IL 60148-2678
Phone (630) 495-2333

Other names 1

  • Lombard Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lombard Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1740929389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482678",
            "telephone_number": "630-495-2333",
            "fax_number": "630-495-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482678",
            "telephone_number": "630-495-2333",
            "fax_number": "630-495-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIES LOMBARD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "KUELTZO",
        "authorized_official_first_name": "CLARKE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-495-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lombard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.