Organization Active NPI

Del Kar Pharmacy Inc.

  • Pharmacy
  • Chicago, IL
National Provider Identifier
1063402345
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054009146 Issued in IL
Legal business name
DEL KAR PHARMACY INC.
Practice address
3726 W 16TH St
Chicago, IL 60623-2026
Phone
(773) 762-5058
NPI assigned
Oct 26, 2005
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Edwin Jerome MuldrowNPI 1124919782
Title
Pharmacist
Phone
(773) 762-5058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X 054009146 IL Primary

Addresses

Primary practice location

3726 W 16TH St
Chicago, IL 60623-2026

Mailing address

3726 W 16TH St
Chicago, IL 60623-2026

National Provider Directory

National Provider Directory

Locations

3726 W 16th St
Chicago, IL 60623
Phone (773) 762-5058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1063402345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 W 16TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 W 16TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232026",
            "telephone_number": "773-762-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL KAR PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MULDROW",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "773-762-5058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054009146",
            "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 12, 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.