Organization Active NPI

Adventist Midwest Health

Doing business as UChicago Medicine AdventHealth Pharmacy Hinsdale

  • Community/Retail Pharmacy
  • Hinsdale, IL
National Provider Identifier
1053415653
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
093002925 Issued in IL
Legal business name
ADVENTIST MIDWEST HEALTH
Doing business as
UChicago Medicine AdventHealth Pharmacy Hinsdale
Practice address
120 North Oak Street
Hinsdale, IL 60521-3829
Phone
(630) 856-3966
Fax
(630) 856-3939
NPI assigned
Sep 12, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Christine Thomas
Title
Director Reimbursement
Phone
(407) 357-2315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 093002925 IL Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

120 North Oak Street
Hinsdale, IL 60521-3829

Mailing address

120 North Oak Street
Hinsdale, IL 60521-3829
Phone (630) 856-3966

Other identifiers 1

IdentifierTypeStateIssuer
1435848OtherOTHER ID NUMBER

Other names 1

  • UChicago Medicine AdventHealth Pharmacy Hinsdale Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1053415653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NORTH OAK STREET",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213829",
            "telephone_number": "630-856-3966",
            "fax_number": "630-856-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NORTH OAK STREET",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213829",
            "telephone_number": "630-856-3966",
            "fax_number": "630-856-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST MIDWEST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "407-357-2315"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "093002925",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1435848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UChicago Medicine AdventHealth Pharmacy Hinsdale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UChicago Medicine AdventHealth Pharmacy Hinsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.