Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801496658 Individual Practitioner Female Practitioner

Kathryn Deraedt , RPH

Pharmacist • Forest Park, IL

Professional Overview & Biography Verified Profile Summary

Kathryn Deraedt, RPH is a registered healthcare professional specializing in Pharmacist in Forest Park, IL. Practice services are available at 1300 DES PLAINES AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 Des Plaines Ave

Forest Park, IL 601302507

Telephone 7087712238
Fax 7087712284
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1194743617

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Forest Park, IL

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

Practicing in Forest Park, 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

CMS Verified: 2020-10-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051.296891

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2020

Registered at 1300 DES PLAINES AVE, FOREST PARK, IL 601302507 (Tel: 7087712238)

📍
Updated Business Mailing Address October 30, 2020

Registered at 5041 N MOBILE AVE, CHICAGO, IL 606301836 (Tel: 7737047509)

👤
Provider Name / Credentials Updated October 30, 2020

Recorded as KATHRYN DERAEDT, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2020

Pharmacist (License #051.296891 in IL)

🟢
Initial NPI Registration & Enumeration October 30, 2020

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: 1801496658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2020
Last Update: October 30, 2020
Sole Proprietor: No

Mailing Address

5041 N Mobile Ave

Chicago, IL 606301836

Phone: 7737047509

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.