Organization Active NPI

Tablets Pharmacy Inc.

  • Community/Retail Pharmacy
  • Evergreen Park, IL
National Provider Identifier
1073149753
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TABLETS PHARMACY INC.
Practice address
9603 S Pulaski Rd
Evergreen Park, IL 60805-2922
Phone
(708) 272-1212
Fax
(708) 272-1222
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Authorized official

Name
Jalal Mataria, RPHNPI 1245820877
Title
Pic
Phone
(708) 272-1212

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 1

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

Addresses

Primary practice location

9603 S Pulaski Rd
Evergreen Park, IL 60805-2922

Mailing address

9603 S Pulaski Rd
Evergreen Park, IL 60805-2922
Phone (708) 272-1212

Other names 1

  • Tablets Pharmacy Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104002412 IL Part B Supplier - Pharmacy 8527459338 Practice locations: Evergreen Park, IL

National Provider Directory

National Provider Directory

Locations

9603 S Pulaski Rd
Evergreen Park, IL 60805
Phone (708) 272-1212

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1073149753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 S PULASKI RD",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052922",
            "telephone_number": "708-272-1212",
            "fax_number": "708-272-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9603 S PULASKI RD",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052922",
            "telephone_number": "708-272-1212",
            "fax_number": "708-272-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLETS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "MATARIA",
        "authorized_official_first_name": "JALAL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "708-272-1212",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tablets Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.