NPIMap

Organization Active NPI

James a Lovell FHCC

Doing business as DoD GREAT LAKES BURKEY MALL ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • North Chicago, IL
National Provider Identifier
1043625981
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
JAMES A LOVELL FHCC
Doing business as
DoD GREAT LAKES BURKEY MALL ePhcy
Practice address
2630 Green Bay Rd BLDG 3452
North Chicago, IL 60088-3303
Phone
(847) 688-2772
Fax
(847) 688-2805
NPI assigned
Jun 30, 2014
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X NU Primary

Addresses

Primary practice location

2630 Green Bay Rd BLDG 3452
North Chicago, IL 60088-3303

Mailing address

PO Box 322
James a Lovell FHCC
North Chicago, IL 60064
Phone (224) 610-4232

Other identifiers 1

IdentifierTypeStateIssuer
2146521OtherPK

Other names 1

  • DoD GREAT LAKES BURKEY MALL ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James a Lovell FHCC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2630 Green Bay Rd
Bldg 3452
North Chicago, IL 60088
Phone (847) 688-2772

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1043625981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "address_2": "JAMES A LOVELL FHCC",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "224-610-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 GREEN BAY RD BLDG 3452",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600883303",
            "telephone_number": "847-688-2772",
            "fax_number": "847-688-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A LOVELL FHCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD GREAT LAKES BURKEY MALL ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.