Active NPI
Luna Pharmacy II LLC
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1124547849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054020336
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Aurora, IL
- NPI 1922593839
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.