Individual provider Active NPI

Andrew B Kurz, RPH

  • Pharmacist
  • West Peoria, IL
National Provider Identifier
1871878264
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051039019 Issued in IL
Practice address
221 N Western Ave
West Peoria, IL 61604-5640
Phone
(309) 673-0665
NPI assigned
Oct 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051039019 IL Primary

Addresses

Primary practice location

221 N Western Ave
West Peoria, IL 61604-5640

Mailing address

6211 N Frostwood Pkwy
Peoria, IL 61615-2804
Phone (309) 363-3367

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051039019ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1871878264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 N FROSTWOOD PKWY",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152804",
            "telephone_number": "309-363-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N WESTERN AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616045640",
            "telephone_number": "309-673-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZ",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051039019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.