NPIMap

Organization Active NPI

St. Bernard Hospital Ambulatory Care Center Pharmacy

  • Pharmacy
  • Chicago, IL
National Provider Identifier
1013366970
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054019899 Issued in IL
Legal business name
ST. BERNARD HOSPITAL AMBULATORY CARE CENTER PHARMACY
Practice address
6307 S Stewart Ave
Chicago, IL 60621-3116
Phone
(773) 420-1560
NPI assigned
Jun 10, 2016
Organization subpart
Yes
Parent organization
ST. BERNARD HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Dr. Jennifer E. Atomah, PHARMD.
Title
Pharmacy Manager
Phone
(773) 420-1561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054019899 IL Primary

Addresses

Primary practice location

6307 S Stewart Ave
Chicago, IL 60621-3116

Mailing address

6307 S Stewart Ave
Chicago, IL 60621-3116
Phone (773) 420-1560

National Provider Directory

National Provider Directory
Tax ID family
St Bernard Hospital13 organizations share this tax ID, including this one
Part of
St Bernard Hospital

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1013366970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-420-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-420-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BERNARD HOSPITAL AMBULATORY CARE CENTER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. BERNARD HOSPITAL",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "ATOMAH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "773-420-1561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054019899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.