Organization Active NPI

Mycare Express Pharmacy, LLC

  • Community/Retail Pharmacy
  • Munster, IN
National Provider Identifier
1073259818
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MYCARE EXPRESS PHARMACY, LLC
Practice address
9108 Columbia Ave Ste B
Munster, IN 46321-2907
Phone
(847) 347-3907
NPI assigned
May 5, 2022
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Shital PatelNPI 1265029946
Title
Manager
Phone
(847) 544-3831

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

9108 Columbia Ave Ste B
Munster, IN 46321-2907

Mailing address

9108 Columbia Ave Ste B
Munster, IN 46321-2907
Phone (847) 347-3907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220830003615 IN Part B Supplier - Pharmacy 7315321064 Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory

Locations

9108 Columbia Ave
#B
Munster, IN 46321
Phone (219) 595-5412

Practitioners & affiliated clinicians

Practitioners 2

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": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1073259818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 COLUMBIA AVE STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212907",
            "telephone_number": "847-347-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 COLUMBIA AVE STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212907",
            "telephone_number": "847-347-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCARE EXPRESS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHITAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-544-3831"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.