Farmacia 47 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054015508 Issued in IL

Legal business name

FARMACIA 47 INC

Practice address

1837 W 47TH St
Chicago, IL 60609-3844

Phone

(773) 847-6160

Fax

(773) 847-6165

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Richard Chagoya

Title

Owner Pharmacist

Phone

(773) 847-6160

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 47TH STREET PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1164534004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093844",
            "telephone_number": "773-847-6160",
            "fax_number": "773-847-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093844",
            "telephone_number": "773-847-6160",
            "fax_number": "773-847-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA 47 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "CHAGOYA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "773-847-6160"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054015508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "47TH STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Xavier Farley, MD, MS
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• Kelli Farlow, LCSW
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• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, 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 Oct 29, 2014; 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.