Stephanie Kandathil

Primary specialty

PharmacistTaxonomy code 183500000X

License

051306114 Issued in IL

Practice address

27W171 Geneva Rd
Winfield, IL 60190-2058

Phone

(630) 681-8482

NPI assigned

Feb 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Winfield, IL
  • NPI 1720093925
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1841054244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W171 GENEVA RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902058",
            "telephone_number": "630-681-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W171 GENEVA RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902058",
            "telephone_number": "630-681-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDATHIL",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051306114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Kaczmarczyk, M.D.
• Jomole J Kadiampally, APRN, CNP
• Jacob Andrew Kaiser
• Vasilios Kalas, MD PHD
• Manoj P Kalayil, MD
• Erin Kane, PA-C
• Aroop Kumar Kar, M.D.
• Karim M Karim, APRN, CRNA
• Dennis Karsh, MD
• Karwoski Family Vision, LTD

• Pharmacist in Winfield, IL
• Providers in Winfield, IL by specialty
• Pharmacist in Illinois

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