Organization Active NPI

Kalpesh M Shah

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1851310833
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054007053 Issued in IL
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

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Kalpesh ShahNPI 1255586665
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2017816OtherPK
359606117001MedicaidIL

Other names 1

  • K AND K PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.