Individual provider Active NPI

David James Knocke, RPH MS

  • Pharmacist
  • Cary, IL
National Provider Identifier
1811232150
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10359-40 Issued in WI
Practice address
233 Perth Rd
Cary, IL 60013-2648
Phone
(847) 462-0611
Fax
(847) 462-0611
NPI assigned
Nov 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10359-40 WI Primary
Pharmacist 183500000X 051.292548 IL

Addresses

Primary practice location

233 Perth Rd
Cary, IL 60013-2648

Mailing address

233 Perth Rd
Cary, IL 60013-2648
Phone (847) 462-0611

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
Master of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051.292548ILMDPharmacist
10359-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1811232150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PERTH RD",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132648",
            "telephone_number": "847-462-0611",
            "fax_number": "847-462-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 PERTH RD",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132648",
            "telephone_number": "847-462-0611",
            "fax_number": "847-462-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOCKE",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "RPH MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10359-40",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.292548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.