First Family Pharmacy Plus Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.019391 Issued in IL

Legal business name

FIRST FAMILY PHARMACY PLUS INC

Practice address

2140 W Devon Ave Ste 1W
Chicago, IL 60659-2256

Phone

(773) 338-7000

Fax

(773) 338-7111

NPI assigned

Jun 23, 2015

Organization subpart

No

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

Authorized official

Name

Altamash Khan

Title

Store Manager

Phone

(224) 619-9786

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1114309465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W DEVON AVE STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592256",
            "telephone_number": "773-338-7000",
            "fax_number": "773-338-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W DEVON AVE STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592256",
            "telephone_number": "773-338-7000",
            "fax_number": "773-338-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FAMILY PHARMACY PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ALTAMASH",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "224-619-9786"
    },
    "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": "054.019391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 19, 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.