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Mark Joseph Kliethermes , RPH, MBA

Pharmacist β€’ Berwyn, IL

Active NPI 1447240668 Individual Practitioner Male Practitioner
Practice location in NPPES

3300 Oak Park Ave
Berwyn, IL 604023433

Call 7087832411 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3300 Oak Park Ave

Berwyn, IL 604023433

Telephone 7087832411
Organization at the Same NPPES Address or Phone
Clinical Pharmacy Systems, Inc. Facility NPI 1013126077

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Elmhurst, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Berwyn and Illinois

25 active clinicians are listed under Pharmacist with a practice address in Berwyn, IL (9,750 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Berwyn

0% of these 25 clinicians have the CMS telehealth indicator.

0% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES IL 051-034080

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State Pharmacy License
051-034080 (IL)

Secondary Practice Locations

160 S Kenmore Ave

Elmhurst, IL 601263518

Phone: 6308865588

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
βœ…
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 17, 2018

Registered at 3300 OAK PARK AVE, BERWYN, IL 604023433 (Tel: 7087832411)

πŸ“
Updated Business Mailing Address March 17, 2018

Registered at 160 S KENMORE AVE, ELMHURST, IL 601263518 (Tel: (630) 886-5588)

πŸ‘€
Provider Name / Credentials Updated March 17, 2018

Recorded as MARK KLIETHERMES, R.PH, MBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pharmacist (license number reported to NPPES: IL 051-034080)

βœ…
NPI Profile Active May 14, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location May 14, 2017

Registered at 3300 OAK PARK AVE, BERWYN, IL 604023433 (Tel: 7087832411)

πŸ“
Updated Business Mailing Address May 14, 2017

Registered at 160 S KENMORE AVE, ELMHURST, IL 601263518 (Tel: (630) 886-5588)

πŸ‘€
Provider Name / Credentials Updated May 14, 2017

Recorded as MARK KLIETHERMES, R.PH, MBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2017

Pharmacist (license number reported to NPPES: IL 051-034080)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 840 S WOOD ST, MC 884, CHICAGO, IL 606124325 (Tel: 3124139795)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 160 S KENMORE AVE, ELMHURST, IL 601263518 (Tel: 6308865588)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MARK KLIETHERMES, R.PH, MBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist

🟒
Initial NPI Registration & Enumeration October 27, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447240668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2005
Last Update: July 21, 2022
Sole Proprietor: Yes

Other Pharmacists in Berwyn

Healthcare providers in Berwyn

Mailing Address

160 S Kenmore Ave

Elmhurst, IL 601263518

Phone: 6308865588

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.