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KELLY DECANIO
NPI 1669974309
Pharmacy - Community/Retail Pharmacy in Deerfield, IL

Active since March 07, 2018
1435 LAKE COOK RD, DEERFIELD, IL 60015(847) 687-9974 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Decanio NPPES

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

KELLY DECANIO (NPI 1669974309) is an individual community/retail pharmacy provider in Deerfield, Illinois, licensed in Illinois (051298728) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1669974309
Entity TypeIndividualFemale
Primary Taxonomy3336C0003X
Provider Legal NameKELLY DECANIO
Location Address1435 LAKE COOK RDDeerfield, IL 60015-5213
Mailing Address5 Brentwood DrHawthorn Woods, IL 60047-7402
Phone(847) 687-9974
Sole ProprietorYes
Enumeration DateMarch 7, 2018
✔ NPI 1669974309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IL · 051298728
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1435 LAKE COOK RD, Deerfield, IL 60015
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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 Decanio's NPI number?

The NPI number for Kelly Decanio is 1669974309. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Kelly Decanio located?

Kelly Decanio practices at 1435 Lake Cook Rd, Deerfield, IL 60015. The listed phone number is (847) 687-9974.

What is Kelly Decanio's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Kelly Decanio was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.