Cook County

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

054014914 Issued in IL

Legal business name

COOK COUNTY

Doing business as

Fantus Health Center Pharmacy

Practice address

1901 W Harrison St
Chicago, IL 60612-3714

Phone

(312) 864-6189

Fax

(312) 864-9288

NPI assigned

Mar 27, 2007

Last updated

Apr 25, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

COOK COUNTYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John BuskerNPI 1417405945

Title

Assistant Director of Pharmacy

Phone

(312) 864-2194

Specialties & licenses 1

Addresses

Other names 1

• FANTUS HEALTH CENTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cook County

  dba Oak Forest Hospital

  • General Acute Care Hospital
  • Oak Forest, IL
  • NPI 1023228731

  O20031209000747

  Same enrollment
• Cook County

  dba Morton East Adolescent Health Center

  • Primary Care Clinic/Center
  • Cicero, IL
  • NPI 1104946904

  O20031209000747

  Same enrollment
• Cook County

  dba Oak Forest Hospital E Building Pharmacy

  • Mail Order Pharmacy
  • Oak Forest, IL
  • NPI 1215955802

  O20031209000747

  Same enrollment
• Cook County

  dba Central Campus Specialty Care Clinic

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1245350040

  O20031209000747

  Same enrollment
• Cook County

  dba Englewood Health Center

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1295855096

  O20031209000747

  Same enrollment
• Cook County

  dba Children's Advocacy Center

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1336268143

  O20031209000747

  Same enrollment
• Cook County

  dba Woody Winston Health Center

  • Primary Care Clinic/Center
  • Phoenix, IL
  • NPI 1336269133

  O20031209000747

  Same enrollment
• Cook County

  dba Oak Forest Hospital FFS

  • General Acute Care Hospital
  • Oak Forest, IL
  • NPI 1346360682

  O20031209000747

  Same enrollment
• Cook County

  dba Near South Health Cener

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1396865077

  O20031209000747

  Same enrollment
• Cook County

  dba Provident Hospital FFS

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1437279676

  O20031209000747

  Same enrollment
• Cook County

  dba Woodlawn Health Center

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1497874325

  O20031209000747

  Same enrollment
• Cook County

  dba Cook County Health at North Riverside Health

  • Primary Care Clinic/Center
  • Riverside, IL
  • NPI 1497875298

  O20031209000747

  Same enrollment

Part of

Community Triage Center

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John F. Busker, PHARM.D.

  • Ambulatory Care Pharmacist
  • Chicago, IL
  • NPI 1417405945
  Authorized official Same address or phone
• Sheila Mina Badri, M.D.

  • Infectious Disease Physician
  • Chicago, IL
  • NPI 1083728398
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1013035781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-6189",
            "fax_number": "312-864-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-6189",
            "fax_number": "312-864-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK COUNTY",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "BUSKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "312-864-2194"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "054014914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FANTUS HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Julia Conway, MD
• Terrence John Conway, M.D.
• Kathleen Susan Conwell, DPT, PT, ATC
• Christopher L Coogan, M.D.
• Kathleen Coogan
• Cook County (Cook County Health - S - UA)
• Cook County (Westside Health Center)
• Cook County (Near South Health Center (FFS))
• Cook County (Charles Hayes Center)
• Cook County (John Sengstacke Health Center (FFS))

• Clinic Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.