Organization Active NPI

Luna Pharmacy II LLC

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1124547849
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054020336 Issued in IL
Legal business name
LUNA PHARMACY II LLC
Practice address
235 W 95TH St
Chicago, IL 60628-1321
Phone
(773) 340-4445
Fax
(773) 340-4446
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
Aiman Alanfous
Title
Owner
Phone
(773) 340-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054020336 IL Primary

Addresses

Primary practice location

235 W 95TH St
Chicago, IL 60628-1321

Mailing address

5352 N Lincoln Ave
Chicago, IL 60625-2316
Phone (773) 340-4445

National Provider Directory

National Provider Directory

Locations

235 W 95th St
Chicago, IL 60628
Phone (773) 340-4445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1124547849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252316",
            "telephone_number": "773-340-4445",
            "fax_number": "773-340-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281321",
            "telephone_number": "773-340-4445",
            "fax_number": "773-340-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA PHARMACY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "ALANFOUS",
        "authorized_official_first_name": "AIMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-340-4445"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054020336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 13, 2017; 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.