Organization Active NPI

Gordono Pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1164437778
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GORDONO PHARMACY
Practice address
5501 N Clark St
Chicago, IL 60640-1213
Phone
(773) 561-3671
Fax
(773) 728-1399
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jeff Bendix
Title
President
Phone
(773) 561-3671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Pharmacy 333600000X IL

Addresses

Primary practice location

5501 N Clark St
Chicago, IL 60640-1213

Mailing address

5501 N Clark St
Chicago, IL 60640-1213

Other identifiers 2

IdentifierTypeStateIssuer
1453480OtherOTHER ID NUMBER-COMMERCIAL NUMBER
363469572001MedicaidIL

National Provider Directory

National Provider Directory

Locations

5501 N Clark St
Chicago, IL 60640
Phone (773) 561-3671

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164437778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401213",
            "telephone_number": "773-561-3671",
            "fax_number": "773-728-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDONO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BENDIX",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-561-3671"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1453480",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363469572001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 11, 2025; 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.