Cermak Clinic Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05411305 Issued in IL

Legal business name

CERMAK CLINIC PHARMACY

Practice address

6 E Cermak Rd
Chicago, IL 60616-2108

Phone

(312) 791-1640

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Edward Fox

Title

Exec Mang

Phone

(847) 673-2424

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1114004538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162108",
            "telephone_number": "312-791-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERMAK CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EXEC MANG",
        "authorized_official_telephone_number": "847-673-2424"
    },
    "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": "05411305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1465219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1465219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Cerda, MED, ATC
• Alexandra Cerdan, RBT
• Cerebro Psychotherapy and Wellness Services, PLLC
• Hannah Rose Cericola
• Tilly-Ana Ceriser, LMSW
• Cermak Dental Associates LLC
• Cermak Dentistry LLC
• Cermak Health Services
• Cermak Pharmacy Inc
• Keith J Cermak, NP

• 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 Apr 20, 2008; 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.