NPIMap

Organization Active NPI

Advocate North Side Health Network

Doing business as Advocate Pharmacy #1510

  • Institutional Pharmacy
  • Chicago, IL
National Provider Identifier
1114645470
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
ADVOCATE NORTH SIDE HEALTH NETWORK
Doing business as
Advocate Pharmacy #1510
Practice address
836 W Wellington Ave Ste 1801
Chicago, IL 60657-5147
Phone
(872) 843-3160
Fax
(872) 843-3165
NPI assigned
Aug 22, 2022
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Kara Richardson
Title
VP Managed Health
Phone
(980) 416-4068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X NU Primary

Addresses

Primary practice location

836 W Wellington Ave Ste 1801
Chicago, IL 60657-5147

Mailing address

PO Box 208
Sheboygan, WI 53082-0208
Phone (920) 803-3266

Other names 1

  • Advocate Pharmacy #1510 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230810002205 IL Part B Supplier - Mass Immunization (Roster Biller Only) 9537063904 Practice locations: Chicago, IL
O20240322002870 IL DME Supplier - Pharmacy 9537063904 Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advocate North Side Health Network836 W Wellington Ave, Chicago, IL 60657-5147(872) 843-3160 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Nov 3, 2000

National Provider Directory

National Provider Directory
Tax ID family
Advocate Northside HLTH22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 33)

111 N Wabash Ave
Ste 1710
Chicago, IL 60602
Phone (312) 641-2921

1301 E 47th St
Chicago, IL 60653
Phone (773) 493-8212

1945 W Wilson Ave
Ste 200
Chicago, IL 60640
Phone (773) 769-2081

25430 Network Pl
Chicago, IL 60673

3000 N Halsted St
Ste 100
Chicago, IL 60657
Phone (773) 296-5137

3000 N Halsted St
Ste 209
Chicago, IL 60657
Phone (773) 296-3500

3000 N Halsted St
Ste 220
Chicago, IL 60657
Phone (773) 296-5137

3000 N Halsted St
Ste 323
Chicago, IL 60657
Phone (773) 296-8880

3000 N Halsted St
Ste 405
Chicago, IL 60657
Phone (773) 296-7300

3000 N Halsted St
Ste 509
Chicago, IL 60657
Phone (773) 296-3390

3000 N Halsted St
Ste 823
Chicago, IL 60657
Phone (773) 296-7937

3040 N Wilton Ave
Chicago, IL 60657
Phone (773) 296-7340

3040 N Wilton Ave
#2
Chicago, IL 60657
Phone (773) 296-7340

3048 N Wilton Ave
Fl 1
Chicago, IL 60657
Phone (773) 296-5137

3048 N Wilton Ave
Fl First
Chicago, IL 60657
Phone (773) 296-7060

3048 N Wilton Ave
Fl Third
Chicago, IL 60657
Phone (773) 296-7400

3933 N Cicero Ave
#Six
Chicago, IL 60641
Phone (773) 736-8654

4055 N Western Ave
Chicago, IL 60618
Phone (773) 866-6900

5758 N California Ave
Chicago, IL 60659
Phone (773) 561-4063

6151 W Diversey Ave
Chicago, IL 60639
Phone (773) 889-9250

836 W Wellington Ave
#1
Chicago, IL 60657
Phone (773) 296-5451

836 W Wellington Ave
#1723
Chicago, IL 60657
Phone (773) 296-5420

836 W Wellington Ave
Fl 7
Chicago, IL 60657
Phone (773) 296-7084

836 W Wellington Ave
Fl 8
Chicago, IL 60657
Phone (773) 296-7221

836 W Wellington Ave
Fl Seventh
Chicago, IL 60657
Phone (773) 296-7084

Practitioners & affiliated clinicians

Practitioners 127

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1114645470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530820208",
            "telephone_number": "920-803-3266",
            "fax_number": "920-459-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE STE 1801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "872-843-3160",
            "fax_number": "872-843-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE NORTH SIDE HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP MANAGED HEALTH",
        "authorized_official_telephone_number": "980-416-4068"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advocate Pharmacy #1510",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocate Pharmacy #1510",
            "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 Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.