Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1477952349 Deactivated / Inactive NPI Male Practitioner

Dr. Adam J Kielbasa , PharmD

Pharmacist • Deerfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Adam Kielbasa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2014
NPI Deactivation Date June 18, 2018
Total Practice Duration ~4 Years of Practice (2014 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Adam Kielbasa, PharmD was a registered Pharmacist practicing in Deerfield, IL. Throughout an active medical career spanning 4 years, Dr. Kielbasa provided care at the practice location at 200 WILMOT RD until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

200 Wilmot Rd

Deerfield, IL 600154620

Telephone 8479402500
Associated Practice Facility / Clinic
🏢 Walgreen Eastern Co Inc Facility NPI 1497058085

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Deerfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
103 Specialists

Practicing in Deerfield, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051.297794

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1033471388

Doctor of Pharmacy (Pharm.D.), Master of Business Administration

NPI 1881975639

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active August 17, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2014

Registered at 200 WILMOT RD, DEERFIELD, IL 600154620 (Tel: 8479402500)

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Updated Business Mailing Address August 17, 2014

Registered at 2521 OAK RAIL DR, NEW LENOX, IL 604512817 (Tel: 7739837341)

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Provider Name / Credentials Updated August 17, 2014

Recorded as ADAM KIELBASA, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2014

Pharmacist (License #051.297794 in IL)

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Initial NPI Registration & Enumeration August 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477952349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2014
Last Update: August 17, 2014
Deactivation Date: June 18, 2018

Mailing Address

2521 Oak Rail Dr

New Lenox, IL 604512817

Phone: 7739837341

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.