NPIMap

Organization Active NPI

Kingston Healthcare Consulting, LLC

  • Pharmacy
  • Waukegan, IL
National Provider Identifier
1760141956
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
KINGSTON HEALTHCARE CONSULTING, LLC
Practice address
2702 Grand Ave
Waukegan, IL 60085-2407
Phone
(904) 477-3853
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Averill Gordon, PHARMD
Title
Owner/Manager
Phone
(904) 477-3853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2702 Grand Ave
Waukegan, IL 60085-2407

Mailing address

1282 Chesterfield LN
Grayslake, IL 60030-3797
Phone (904) 477-3853

Other names 1

  • Tu Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kingston Healthcare Consulting LLC3 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": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1760141956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 CHESTERFIELD LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303797",
            "telephone_number": "904-477-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852407",
            "telephone_number": "904-477-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON HEALTHCARE CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "AVERILL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "904-477-3853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tu Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.