Mascot Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MASCOT PHARMACY INC

Doing business as

MEDICINE SHOPPE

Practice address

110 Main St
Park Ridge, IL 60068-4030

Phone

(847) 698-3323

Fax

(847) 698-4112

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Maria L Costa, RPH

Title

Owner Pharmacist

Phone

(847) 698-3323

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1144385576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684030",
            "telephone_number": "847-698-3323",
            "fax_number": "847-698-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASCOT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "847-698-3323",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054014403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1425950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Martinez, LCSW
• Mary Grant-Angioletti
• Mas Audiology, LLC
• Ahmad Masalha, MD
• Caroline Lindsey Masciola, PT, DPT
• Aliza Mashiach
• Mirela Masinovic, LPC
• Daria Maslankiewicz, PTA
• Sarah Masse
• Teresa C Massimini-Chilla, OTR/L

• Community/Retail Pharmacy in Park Ridge, IL
• Providers in Park Ridge, 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 Mar 7, 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.

Verify at the official NPI Registry.