Active NPI
HT Outpatient Pharmacy
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1154570208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054016556
- Legal business name
- HT OUTPATIENT PHARMACY
- Practice address
- 3435 W Vanburen St
Chicago, IL 60624 - Phone
- (773) 265-3585
- NPI assigned
- Sep 13, 2008
- 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
- Neeta Talwar
- Title
- President
- Phone
- (773) 265-3724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 054016556 | IL | Primary |
Addresses
Primary practice location
3435 W Vanburen St
Chicago, IL 60624
Mailing address
51 W Stevenson Dr
Glendale HTS, IL 60139-2456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1482619 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- HT Outpatient Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226361600000",
"number": "1154570208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 W STEVENSON DR",
"city": "GLENDALE HTS",
"state": "IL",
"postal_code": "601392456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 W VANBUREN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60624",
"telephone_number": "773-265-3585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HT OUTPATIENT PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-13",
"last_updated": "2008-11-11",
"status": "A",
"authorized_official_last_name": "TALWAR",
"authorized_official_first_name": "NEETA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-265-3724"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "054016556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1482619",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HT Outpatient 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 Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.