Active NPI
Kenneth Puleikis
- Pharmacist
- Chicago, IL
National Provider Identifier
1952757593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.290660
- Practice address
- 1224 S Wabash Ave
Chicago, IL 60605-2401 - Phone
- (312) 663-6664
- Fax
- (312) 663-6696
- NPI assigned
- May 13, 2016
- Last updated
- May 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.290660 | IL | Primary |
Addresses
Primary practice location
1224 S Wabash Ave
Chicago, IL 60605-2401
Mailing address
1224 S Wabash Ave
Chicago, IL 60605-2401
Phone (312) 663-6664
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.290660 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1952757593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 S WABASH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052401",
"telephone_number": "312-663-6664",
"fax_number": "312-663-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 S WABASH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052401",
"telephone_number": "312-663-6664",
"fax_number": "312-663-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULEIKIS",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.290660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.