Organization Active NPI

Amijay Corporation

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1104930171
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054011897 Issued in IL
Legal business name
AMIJAY CORPORATION
Practice address
3441 W North Ave
Chicago, IL 60647-4841
Phone
(773) 772-6731
Fax
(773) 772-7860
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Mukesh Patel
Title
RPH
Phone
(773) 772-6731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054011897 IL Primary

Addresses

Primary practice location

3441 W North Ave
Chicago, IL 60647-4841

Mailing address

3441 W North Ave
Chicago, IL 60647-4841
Phone (773) 772-6731

Other identifiers 2

IdentifierTypeStateIssuer
2019502OtherPK
054011897MedicaidIL

Other names 1

  • LAPUJA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3441 W North Ave
Chicago, IL 60647
Phone (773) 772-6418

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1104930171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474841",
            "telephone_number": "773-772-6731",
            "fax_number": "773-772-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474841",
            "telephone_number": "773-772-6731",
            "fax_number": "773-772-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIJAY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "773-772-6731"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054011897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019502",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054011897",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAPUJA 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 Feb 28, 2018; 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.