Active NPI
Kasey Kolb
- Pharmacist
- Raleigh, NC
National Provider Identifier
1982207445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051303588
- Practice address
- 4191 The Circle at North Hills St
Raleigh, NC 27609-5712 - Phone
- (919) 786-2534
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 051303588 | IL | Primary |
Addresses
Primary practice location
4191 The Circle at North Hills St
Raleigh, NC 27609-5712
Mailing address
7079 N Aycliffe Dr
Peoria, IL 61614-1232
Phone (309) 258-6158
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 |
|---|---|---|---|
| 051303588 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1982207445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7079 N AYCLIFFE DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141232",
"telephone_number": "309-258-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4191 THE CIRCLE AT NORTH HILLS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095712",
"telephone_number": "919-786-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLB",
"first_name": "KASEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IL",
"license": "051303588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.