Active NPI
Kalpesh M Shah
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1851310833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054007053
- Legal business name
- KALPESH M SHAH
- Practice address
- 401 E 61St St
Chicago, IL 60637-2324 - Phone
- (773) 667-4400
- Fax
- (773) 667-5040
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kalpesh Shah
- Title
- Owner
- Phone
- (773) 667-4400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054007053 | IL | Primary |
Addresses
Primary practice location
401 E 61St St
Chicago, IL 60637-2324
Mailing address
401 E 61St St
Chicago, IL 60637-2324
Phone (773) 667-4400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017816 | Other | PK | |
| 359606117001 | Medicaid | IL |
Other names 1
- K AND K PHARMACY
National Provider Directory
National Provider DirectoryLocations
401 E 61st St
Chicago, IL 60637
Phone (773) 667-4400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Chicago, IL
- NPI 1255586665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411516800000",
"number": "1851310833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 61ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606372324",
"telephone_number": "773-667-4400",
"fax_number": "773-667-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E 61ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606372324",
"telephone_number": "773-667-4400",
"fax_number": "773-667-5040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALPESH M SHAH",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2014-09-24",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "KALPESH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-667-4400"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "054007053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2017816",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "359606117001",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "K AND K PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.