Courtney Chmieleski

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Practice address

3400 Lincoln Hwy
Olympia Fields, IL 60461-1703

Phone

(708) 748-6472

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highland Park CVS, L.L.C.

  • Pharmacy
  • Olympia Fields, IL
  • NPI 1972734622
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1992309710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8S711 SINGLETREE LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605659234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LINCOLN HWY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611703",
            "telephone_number": "708-748-6472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9551 171st St",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604876109",
            "country_code": "US",
            "telephone_number": "708-873-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHMIELESKI",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Childrens Advocate
• Gabriel Michael Chimera, DO
• Shaunda P Chin-Bonds, DO
• Chiro One Wellness Center of Flossmoor LLC
• Chiro One Wellness Center of Olympia Fields
• Choice Transit Services
• Muhammad Q. Choudry, MD
• CN Hearing Care, Inc
• Co-Care L L C
• Christopher Markus Colbert, DO

• Community/Retail Pharmacy in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.