Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1194065631 Deactivated / Inactive NPI Male Practitioner

Kenneth F Kapustka , RPH

Pharmacist • Woodridge, 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, Kenneth Kapustka has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2013
NPI Deactivation Date January 31, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Kenneth Kapustka, RPH was a registered Pharmacist practicing in Woodridge, IL. Throughout an active medical career spanning 11 years, Kenneth Kapustka provided care at the practice location at 2317 75TH ST until profile deactivation on 2024-01-31.

Practice Location & Contact Primary Location

Practice Address

2317 75th St

Woodridge, IL 605172302

Telephone 6309855383
Associated Practice Facility / Clinic
🏢 American Drug Stores Llc Facility NPI 1871549543

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Woodridge, IL

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

Practicing in Woodridge, 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 051030814

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

5 Associated Practitioners
NPI 1245405406

Doctor of Pharmacy (Pharm.D.)

NPI 1316702673
NPI 1619217155

Pharmacist

NPI 1881011344
NPI 1992111041

Doctor of Pharmacy (Pharm.D.)

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 January 31, 2024

Record deactivated on January 31, 2024

NPI Profile Active February 20, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2013

Registered at 2317 75TH ST, WOODRIDGE, IL 605172302 (Tel: 6309855383)

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Updated Business Mailing Address February 20, 2013

Registered at 2317 75TH ST, WOODRIDGE, IL 605172302 (Tel: 6309855383)

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Provider Name / Credentials Updated February 20, 2013

Recorded as KENNETH KAPUSTKA, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2013

Pharmacist (License #051030814 in IL)

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Initial NPI Registration & Enumeration February 20, 2013

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: 1194065631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2013
Last Update: February 20, 2013
Deactivation Date: January 31, 2024

Mailing Address

2317 75th St

Woodridge, IL 605172302

Phone: 6309855383

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.