Deitch Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054005550 Issued in IL

Legal business name

DEITCH PHARMACY INC.

Practice address

1800 W Chicago Ave
Chicago, IL 60622-5512

Phone

(773) 486-1200

Fax

(773) 486-2862

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Osvaldo Feliciano, RPH

Title

Owner Chief Pharmacist

Phone

(773) 486-1200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1093878217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225512",
            "telephone_number": "773-486-1200",
            "fax_number": "773-486-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225512",
            "telephone_number": "773-486-1200",
            "fax_number": "773-486-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEITCH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "OWNER  CHIEF PHARMACIST",
        "authorized_official_telephone_number": "773-486-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054005550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie C Deignan, P.T.
• Joshua B Dein, MD
• Deiss Psychotherapy PLLC
• Nimrod Deiss-Yehiely, MD
• Felix Kate Deiss, PSY.D.
• Drake Deitch
• Lisa Marie Dejanovich, PTA
• Dejean Wellness
• William Paul Dejean, DDS
• Abel Dejene, LPC

• 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 13, 2011; 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.