Active NPI
Local Health Inc
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1124710835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LOCAL HEALTH INC
- Doing business as
- Logan Square Pharmacy
- Practice address
- 3600 W Fullerton Ave Ste 27
Chicago, IL 60647-2319 - Phone
- (872) 710-9041
- NPI assigned
- May 22, 2023
- 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
- Dr. Selma Dzelil, PHARMD
- Title
- VP Regional Director
- Phone
- (815) 715-8502
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3600 W Fullerton Ave Ste 27
Chicago, IL 60647-2319
Mailing address
3600 W Fullerton Ave Ste 27
Chicago, IL 60647-2319
Phone (872) 710-9041
Other names 1
- Logan Square Pharmacy
National Provider Directory
National Provider DirectoryLocations
3600 W Fullerton Ave
Ste 27
Chicago, IL 60647
Phone (872) 710-9041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1124710835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W FULLERTON AVE STE 27",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472319",
"telephone_number": "872-710-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W FULLERTON AVE STE 27",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472319",
"telephone_number": "872-710-9041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOCAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "DZELIL",
"authorized_official_first_name": "SELMA",
"authorized_official_title_or_position": "VP REGIONAL DIRECTOR",
"authorized_official_telephone_number": "815-715-8502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Logan Square Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Logan Square Pharmacy",
"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 Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.