Individual provider Active NPI

Kathleen Diane Franks

  • Pharmacist
  • Moline, IL
National Provider Identifier
1891330148
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.287701 Issued in IL
Practice address
3930 44TH Avenue Dr
Moline, IL 61265-6401
Phone
(309) 736-2275
Fax
(309) 736-2277
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.287701 IL Primary

Addresses

Primary practice location

3930 44TH Avenue Dr
Moline, IL 61265-6401

Mailing address

7120 Talbot Rd
Geneseo, IL 61254-8824
Phone (309) 912-1153

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

State licenses

LicenseStateTypeSpecialty
051.287701ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1891330148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 TALBOT RD",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612548824",
            "telephone_number": "309-912-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 44TH AVENUE DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656401",
            "telephone_number": "309-736-2275",
            "fax_number": "309-736-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKS",
        "first_name": "KATHLEEN",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.287701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.