Individual provider Active NPI

Dovydas Krolis, RPH

  • Oncology Pharmacist
  • Woodridge, IL
National Provider Identifier
1780353458
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
051301516 Issued in IL
Practice address
10204 Werch Dr Ste 302
Woodridge, IL 60517-5085
Phone
(877) 662-6633
NPI assigned
Sep 7, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X 051301516 IL Primary

Addresses

Primary practice location

10204 Werch Dr Ste 302
Woodridge, IL 60517-5085

Mailing address

10204 Werch Dr Ste 302
Woodridge, IL 60517-5085
Phone (877) 662-6633

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

LicenseStateTypeSpecialty
051301516ILMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sina Drug LLC PastSince Sep 12, 2021 Accepting new patients
Sina Drug LLC PastSince Sep 12, 2021 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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1780353458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 WERCH DR STE 302",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175085",
            "telephone_number": "877-662-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 WERCH DR STE 302",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175085",
            "telephone_number": "877-662-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLIS",
        "first_name": "DOVYDAS",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "IL",
            "license": "051301516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.