Tinley Park Apothecary LLC
Organization Active NPI Community/Retail Pharmacy · Tinley Park, IL
NPI 1003289281 · NPPES record last updated Jun 19, 2025
Key facts
- NPI
- 1003289281
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054019529 (IL)
- Legal business name
- TINLEY PARK APOTHECARY LLC
- Practice address
- 17320 Oak Park Ave
Tinley Park, IL 60477-3404 - Phone
- (708) 778-3669
- Fax
- (708) 778-3229
- NPI assigned
- Nov 10, 2015
- Organization subpart
- No
Authorized official
- Name
- Omar Hassad
- Title
- Owner
- Phone
- (708) 778-3669
Practitioners 1
-
Omar Hassad, RPH
National Provider Directory
Locations
17320 Oak Park Ave
Tinley Park, IL 60477
Phone (708) 778-3669
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054019529 | IL | Yes |
Addresses
Primary practice location
17320 Oak Park Ave
Tinley Park, IL 60477-3404
Mailing address
17320 Oak Park Ave
Tinley Park, IL 60477-3404
Phone (708) 778-3669
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155126 | Other | PK | |
| 100328928100 | Medicaid | IL |
Other names
- Tinley Park Apothecary
Other providers in Tinley Park, IL
- Jenna Tilton
- Aman Tineh
- Tinley Court Supportive Living
- Tinley Dental Group LLC
- Tinley Orland Medical Center LLC
- Tinley Park Chiropractic ,LTD.
- Tinley Park Mental Health Center
- Tinley Park Mental Health Center
- Tinley Park Open MRI & Imaging Center LTD
- Tinley Park Pediatric Associates SC
All providers in Tinley Park, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.