Harbor Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203-000579 Issued in IL

Legal business name

HARBOR PHARMACY INC

Practice address

1707 7TH St
Suite 4
Winthrop Harbor, IL 60096-1656

Phone

(847) 872-5427

Fax

(847) 872-9645

NPI assigned

Jul 15, 2005

Organization subpart

Yes

Parent organization

HARBOR PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Louis M Abboud, RPH

Title

Ower/RPH

Phone

(847) 872-5427

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Harbor Home Medical Equipment Doing business as

Part of

Harbor Pharmacy Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Harbor Pharmacy Inc

  • Pharmacy
  • Winthrop Harbor, IL
  • NPI 1205973609
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackie Lynne Schilling, RPH

  • Pharmacist
  • Winthrop Harbor, IL
  • NPI 1992844773
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1043219652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 7TH ST",
            "address_2": "SUITE 4",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961656",
            "telephone_number": "847-872-5427",
            "fax_number": "847-872-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 7TH ST",
            "address_2": "SUITE 4",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961656",
            "telephone_number": "847-872-5427",
            "fax_number": "847-872-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBOR PHARMACY INC",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWER/RPH",
        "authorized_official_telephone_number": "847-872-5427",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203-000579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1428603",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "04932338",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J Clarke, MA-CCC. SLP
• Erika Diaz, LCSW
• FSHS Corporation
• Lion Grenader, DMD
• Harbor Optical Inc
• Harbor Pharmacy Inc
• Kathryn Lisa Hickey, ATC
• Kate Johnson
• Deborah Konow, MS
• Ewa Krzeminska

• Durable Medical Equipment & Medical Supplies in Winthrop Harbor, IL
• Providers in Winthrop Harbor, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.