NPIMap

Organization Active NPI

Sja Pharmacy, Inc

Doing business as Community Pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1144573551
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054-018024 Issued in IL
Legal business name
SJA PHARMACY, INC
Doing business as
Community Pharmacy
Practice address
9718 S Halsted St
Chicago, IL 60628-1007
Phone
(773) 238-4500
Fax
(773) 238-4503
NPI assigned
Oct 23, 2012
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Shital Manek
Title
President
Phone
(630) 777-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054-018024 IL Primary

Addresses

Primary practice location

9718 S Halsted St
Chicago, IL 60628-1007

Mailing address

9718 S Halsted St
Chicago, IL 60628-1007
Phone (773) 238-4500

Other identifiers 1

IdentifierTypeStateIssuer
1487429OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Community Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1144573551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281007",
            "telephone_number": "773-238-4500",
            "fax_number": "773-238-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281007",
            "telephone_number": "773-238-4500",
            "fax_number": "773-238-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "MANEK",
        "authorized_official_first_name": "SHITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-777-7800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-018024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1487429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community 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 Oct 23, 2012; 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.