KELLY WIESE
NPI 1265889976
Pharmacist in New Lenox, IL

Active since May 23, 2016
2021 E LARAWAY RD, NEW LENOX, IL 60451(815) 463-4954 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Wiese NPPES

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

KELLY WIESE (NPI 1265889976) is an individual pharmacist in New Lenox, Illinois, licensed in Illinois (051288235) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1265889976
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELLY WIESE
Location Address2021 E LARAWAY RDNew Lenox, IL 60451-9507
Mailing Address2021 E Laraway RdNew Lenox, IL 60451-9507 · (815) 463-4954
Sole ProprietorNo
Enumeration DateMay 23, 2016
NPI 1265889976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051288235
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.
2021 E LARAWAY RD, New Lenox, IL 60451

Other Providers at the Same Location NPPES 6

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

Pharmacist
2021 E LARAWAY RD
NEW LENOX, IL 60451
Pharmacist
2021 E LARAWAY RD
NEW LENOX, IL 60451
Pharmacist
2021 E LARAWAY RD
NEW LENOX, IL 60451
Pharmacist
2021 E LARAWAY RD
NEW LENOX, IL 60451
Pharmacist
2021 E LARAWAY RD
NEW LENOX, IL 60451
Pharmacy (Community/Retail Pharmacy)
2021 E LARAWAY RD
NEW LENOX, IL 60451

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 Kelly Wiese's NPI number?

The NPI number for Kelly Wiese is 1265889976. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Kelly Wiese located?

Kelly Wiese practices at 2021 E Laraway Rd, New Lenox, IL 60451. The listed phone number is (815) 463-4954.

What is Kelly Wiese'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 Kelly Wiese was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.