Altgeld Garden Drug Co.

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

ALTGELD GARDEN DRUG CO.

Practice address

974 E 133Rd St
Chicago, IL 60827-1428

Phone

(773) 264-0787

Fax

(773) 264-1191

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Erskine Albert Cartwright III, RPH.

Title

President

Phone

(773) 264-0787

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093818148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 E 133RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "608271428",
            "telephone_number": "773-264-0787",
            "fax_number": "773-264-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 E 133RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "608271428",
            "telephone_number": "773-264-0787",
            "fax_number": "773-264-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTGELD GARDEN DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTWRIGHT",
        "authorized_official_first_name": "ERSKINE",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-264-0787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.