Golf Mill Pharmacy and Medical Supply Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054016631 Issued in IL

Legal business name

GOLF MILL PHARMACY AND MEDICAL SUPPLY INC

Practice address

8941 W Golf Rd
Niles, IL 60714-5812

Phone

(847) 803-3340

Fax

(847) 803-3342

NPI assigned

Apr 24, 2009

Organization subpart

No

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

Authorized official

Name

Vladimir Deyski, PHARM. D.NPI 1912129719

Title

Pic

Phone

(847) 803-3340

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Golf Mill Pharmacy and Medical Supply Doing business as

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

Locations

Practitioners 1

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

• Vladimir Deyski

  • Pharmacist
  • Evanston, IL
  • NPI 1912129719
  NPD Authorized official

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1144464876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 KARLOV AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762738",
            "telephone_number": "847-803-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145812",
            "telephone_number": "847-803-3340",
            "fax_number": "847-803-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLF MILL PHARMACY AND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "DEYSKI",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "847-803-3340",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golf Mill Pharmacy and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Kathryn Goergen, M.A.
• Golden Care Inc.
• Golden Star Home Health Care LLC
• Golf Mill Family Clinic
• Golf Mill Medical Center LTD
• Golf Road Back and Neck Clinic, S.C.
• Debe Gonzales, BSN RN
• Emily Gonzalez, DPT/PT
• Tyler Goodwine, LCSW
• Emilia Gordon, DPT

• Community/Retail Pharmacy in Niles, IL
• Providers in Niles, 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 Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.