NPIMap

Organization Active NPI

Cal's Medical Enterprises, Service Corporation

  • Pharmacy
  • South Holland, IL
National Provider Identifier
1104129006
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054016335 Issued in IL
Legal business name
CAL'S MEDICAL ENTERPRISES, SERVICE CORPORATION
Practice address
515 W Taft Dr
South Holland, IL 60473-2030
Phone
(708) 333-6660
Fax
(580) 510-0514
NPI assigned
Dec 15, 2010
Last updated
Jan 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Mr. Eric V Hearn Sr.
Title
President
Phone
(708) 333-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054016335 IL Primary

Addresses

Primary practice location

515 W Taft Dr
South Holland, IL 60473-2030

Mailing address

PO Box 2032
Des Plaines, IL 60017-2032
Phone (708) 333-6660

National Provider Directory

National Provider Directory
Tax ID family
Cal's Medical Enterprises Service Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

515 W Taft Dr
South Holland, IL 60473
Phone (708) 333-6660

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1104129006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2032",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600172032",
            "telephone_number": "708-333-6660",
            "fax_number": "580-510-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W TAFT DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732030",
            "telephone_number": "708-333-6660",
            "fax_number": "580-510-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL'S MEDICAL ENTERPRISES, SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-333-6660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054016335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.