Organization Active NPI

Rameshkumar C. Patel

Doing business as A Caalmad Pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1174538763
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054011233 Issued in IL
Legal business name
RAMESHKUMAR C. PATEL
Doing business as
A Caalmad Pharmacy
Practice address
2839 W Madison St
Chicago, IL 60612-1925
Phone
(773) 638-6615
Fax
(773) 533-0945
NPI assigned
Jul 30, 2006
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Ramesh Patel
Title
Owner
Phone
(773) 638-6615

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 054011233 IL Primary

Addresses

Primary practice location

2839 W Madison St
Chicago, IL 60612-1925

Mailing address

2839 W Madison St
Chicago, IL 60612-1925
Phone (773) 638-6615

Other identifiers 2

IdentifierTypeStateIssuer
363356438002MedicaidIL
2018708OtherPK

Other names 1

  • A CAALMAD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2839 W Madison St
Chicago, IL 60612
Phone (773) 378-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1492560000000",
    "number": "1174538763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121925",
            "telephone_number": "773-638-6615",
            "fax_number": "773-533-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121925",
            "telephone_number": "773-638-6615",
            "fax_number": "773-533-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMESHKUMAR C. PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-638-6615"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054011233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363356438002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A CAALMAD 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 Apr 19, 2017; 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.