Oak Street Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OAK STREET PHARMACY

Practice address

2850 W 95TH St Ste 100
Evergreen Park, IL 60805-2703

Phone

(708) 423-4700

Fax

(708) 423-4720

NPI assigned

Jun 5, 2017

Organization subpart

No

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

Authorized official

Name

Hani AbdallahNPI 1851488787

Title

Pharmacist

Phone

(872) 215-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oak Street Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hani F Abdallah, PHARMACIST

  • Pharmacist
  • Homer Glen, IL
  • NPI 1851488787
  NPD Authorized official

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1184153157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST STE 100",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052703",
            "telephone_number": "708-423-4700",
            "fax_number": "708-423-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST STE 100",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052703",
            "telephone_number": "708-423-4700",
            "fax_number": "708-423-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "872-215-7111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PHARMACY LICENSE",
            "identifier": "054020267",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oak Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Marie Novotny, LPC
• Diane L O'Connor, RNFA
• Lauren Marie O'Connor
• Mary Lou O'Keefe, PA-C
• Michael O'Mara, D.O.
• Ejikeme O Obasi, MD
• Irwin Douglas Obispo
• Occupational Therapy Providers Inc.
• Richard E Odonnell, DO
• Odonoghue & Rosenow, MDSC

• Community/Retail Pharmacy in Evergreen Park, IL
• Providers in Evergreen Park, 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 Feb 6, 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.