Active NPI
Tablets Pharmacy Inc.
- Community/Retail Pharmacy
- Evergreen Park, IL
National Provider Identifier
1073149753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jalal Mataria, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220104002412 | IL | Part B Supplier - Pharmacy | 8527459338 | Practice locations: Evergreen Park, IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Oak Lawn, IL
- NPI 1245820877
-
- Pharmacist
- Evergreen Park, IL
- NPI 1235899733
-
- Pharmacist
- Evergreen Park, IL
- NPI 1588376743
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.