Kosirog Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KOSIROG PHARMACY INC

Practice address

1000 N Western Ave
Chicago, IL 60622-3685

Phone

(773) 486-3998

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Glenn R Kosirog

Title

Owner

Phone

(773) 486-3998

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1184693194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223685",
            "telephone_number": "773-486-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSIROG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "KOSIROG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-486-3998"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1671077",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Koshy, MD
• Kyla Ashley Kosidowski, MD
• Renata Kosiek, DDS
• Ekaterina V Kosinskaya, M.D.
• Nicholas Kosinski
• Lora Kosivzoff, D.P.M.
• Dominique Kosk, RD
• Elizabeth Pauline Koskan, MS, ATC
• Tyler Koski, MD
• Anna R Kosky, DPT

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.