Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245830330 Individual Practitioner Female Practitioner

Kulsoom Shah

Pharmacist • Montgomery, IL

Professional Overview & Biography Verified Profile Summary

Kulsoom Shah is a registered healthcare professional specializing in Pharmacist in Montgomery, IL. Practice services are available at 2000 ORCHARD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2000 Orchard Rd

Montgomery, IL 605381028

Telephone 6308443509
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1043419526

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Montgomery, IL

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

Practicing in Montgomery, 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: 2020-10-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051294277

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

3 Associated Practitioners
NPI 1114528643

Registered Pharmacist

Michael Larson

Pharmacist

NPI 1235730292
NPI 1275106106

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2020

Registered at 2000 ORCHARD RD, MONTGOMERY, IL 605381028 (Tel: 6308443509)

📍
Updated Business Mailing Address October 28, 2020

Registered at 2601 MIDLAND DR, NAPERVILLE, IL 605648513 (Tel: 7739877786)

👤
Provider Name / Credentials Updated October 28, 2020

Recorded as KULSOOM SHAH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2020

Pharmacist (License #051294277 in IL)

🟢
Initial NPI Registration & Enumeration October 28, 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: 1245830330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2020
Last Update: October 28, 2020
Sole Proprietor: Yes

Mailing Address

2601 Midland Dr

Naperville, IL 605648513

Phone: 7739877786

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.