NPIMap

Organization Active NPI

Little Village Pharmacy Inc

  • Long Term Care Pharmacy
  • Chicago, IL
National Provider Identifier
1093417628
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LITTLE VILLAGE PHARMACY INC
Practice address
3811 W 26TH St
Chicago, IL 60623-3808
Phone
(773) 522-2121
NPI assigned
Mar 20, 2023
Organization subpart
Yes
Parent organization
LITTLE VILLAGE PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Mitesh D PatelNPI 1861606287
Title
President
Phone
(847) 912-3201

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3811 W 26TH St
Chicago, IL 60623-3808

Mailing address

3811 W 26TH St
Chicago, IL 60623-3808
Phone (773) 522-2121

Other names 1

  • PROPACK PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Little Village Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Little Village Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1093417628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233808",
            "telephone_number": "773-522-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233808",
            "telephone_number": "773-522-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE VILLAGE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE VILLAGE PHARMACY INC",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-912-3201"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROPACK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROPACK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2023; 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.