Lauren Bruns
Individual provider Active NPI Pharmacist · Lockport, IL
NPI 1831078096 · NPPES record last updated Aug 30, 2025
Key facts
- NPI
- 1831078096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051307329 (IL)
- Practice address
- 16625 W 159TH St
Lockport, IL 60441-6631 - Phone
- (815) 834-9910
- NPI assigned
- Aug 30, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051307329 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past |
Accepting new patients | |
| American Drug Stores LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051307329 | IL | Yes |
Addresses
Primary practice location
16625 W 159TH St
Lockport, IL 60441-6631
Mailing address
16625 W 159TH St
Lockport, IL 60441-6631
Other providers in Lockport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.