KATHRYN DERAEDT RPH
NPI 1801496658
Pharmacist in Forest Park, IL

Active since October 30, 2020
1300 DES PLAINES AVE, FOREST PARK, IL 60130(708) 771-2238(708) 771-2284 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Deraedt Rph NPPES

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

KATHRYN DERAEDT RPH (NPI 1801496658) is an individual pharmacist in Forest Park, Illinois, licensed in Illinois (051.296891) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1801496658
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKATHRYN DERAEDTCredential: RPH
Location Address1300 DES PLAINES AVEForest Park, IL 60130-2507
Mailing Address5041 N Mobile AveChicago, IL 60630-1836 · (773) 704-7509
Fax(708) 771-2284
Sole ProprietorNo
Enumeration DateOctober 30, 2020
NPPES CertifiedOctober 30, 2020
NPI 1801496658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051.296891
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.
1300 DES PLAINES AVE, Forest Park, IL 60130

Other Providers at the Same Location NPPES 3

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

Optometrist
1300 DES PLAINES AVE
FOREST PARK, IL 60130
Pharmacy (Community/Retail Pharmacy)
1300 DES PLAINES AVE
FOREST PARK, IL 60130
Eyewear Supplier
1300 DES PLAINES AVE
FOREST PARK, IL 60130

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 Kathryn Deraedt's NPI number?

The NPI number for Kathryn Deraedt is 1801496658. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Where is Kathryn Deraedt located?

Kathryn Deraedt practices at 1300 Des Plaines Ave, Forest Park, IL 60130. The listed phone number is (708) 771-2238.

What is Kathryn Deraedt'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 Kathryn Deraedt was last updated on October 30, 2020. 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.