Om Red Ganesh Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3336C0003X Issued in IL

Legal business name

OM RED GANESH INC

Practice address

2701 W Division St
Chicago, IL 60622-2854

Phone

(773) 278-5337

Fax

(773) 278-5365

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jatin J Patel, RPH

Title

Owner

Phone

(773) 278-5337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JDISCOUNT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1073754149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222854",
            "telephone_number": "773-278-5337",
            "fax_number": "773-278-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222854",
            "telephone_number": "773-278-5337",
            "fax_number": "773-278-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM RED GANESH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JATIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-278-5337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "3336C0003X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263976548001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JDISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Elizabeth Olvera, M.D.
• Sandie Maria Olvera, PTA
• Olympia Fields Pharmacy Inc
• Olympus Healthcare Inc
• Om Jay Gayatri Ma Inc
• Megan Eileen Omahony, APN
• Janice Susan Omalley, PSYD
• Michael Omalley, O.D
• Wendy Oman, PSYD
• Omar Pharmacy Inc

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.