Organization Active NPI

Greenbrook Pharmacy LLC

Doing business as Greenbrook Pharmacy

  • Community/Retail Pharmacy
  • Hanover Park, IL
National Provider Identifier
1043502107
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GREENBROOK PHARMACY LLC
Doing business as
Greenbrook Pharmacy
Practice address
1806 Irving Park Rd
Hanover Park, IL 60133-3254
Phone
(630) 830-3784
Fax
(630) 830-3788
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Dr. Chetan Patel, PHARM.D.
Title
Owner/Pharmacist
Phone
(630) 830-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1806 Irving Park Rd
Hanover Park, IL 60133-3254

Mailing address

1806 Irving Park Rd
Hanover Park, IL 60133-3254
Phone (630) 830-3784

Other names 1

  • Greenbrook Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1806 Irving Park Rd
Hanover Park, IL 60133
Phone (630) 830-3784

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1043502107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 IRVING PARK RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333254",
            "telephone_number": "630-830-3784",
            "fax_number": "630-830-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 IRVING PARK RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333254",
            "telephone_number": "630-830-3784",
            "fax_number": "630-830-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "630-830-3784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbrook Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.