JERRY N LILIESTEDT R.PH.
NPI 1104130665
Pharmacist in North Canton, OH

Active since July 27, 2010
7167 KECK PARK CIR NW, NORTH CANTON, OH 44720(330) 498-5017 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry N Liliestedt R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY N LILIESTEDT R.PH. (NPI 1104130665) is an individual pharmacist in North Canton, Ohio, licensed in Ohio (03124428) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1104130665
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJERRY N LILIESTEDTCredential: R.PH.
Location Address7167 KECK PARK CIR NWNorth Canton, OH 44720-6301
Mailing Address7167 Keck Park Cir NwNorth Canton, OH 44720-6301 · (330) 498-5017 · Fax (866) 835-1859
Sole ProprietorNo
Enumeration DateJuly 27, 2010
Last NPPES UpdateApril 26, 2021
NPPES CertifiedApril 26, 2021
NPI 1104130665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OH · 03124428
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
7167 KECK PARK CIR NW, North Canton, OH 44720

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
7167 KECK PARK CIR NW
NORTH CANTON, OH 44720
Pharmacist
7167 KECK PARK CIR NW
NORTH CANTON, OH 44720
Pharmacist
7167 KECK PARK CIR NW
NORTH CANTON, OH 44720
Pharmacy (Long Term Care Pharmacy)
7167 KECK PARK CIR NW
NORTH CANTON, OH 44720
Pharmacist
7167 KECK PARK CIR NW
NORTH CANTON, OH 44720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Liliestedt's NPI number?

The NPI number for Jerry Liliestedt is 1104130665. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Jerry Liliestedt located?

Jerry Liliestedt practices at 7167 Keck Park Cir NW, North Canton, OH 44720. The listed phone number is (330) 498-5017.

What is Jerry Liliestedt's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jerry Liliestedt was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.