NPIMap

Organization Active NPI

Loyola University Medical Center

Doing business as Mulcahy Pharmacy

  • Community/Retail Pharmacy
  • Maywood, IL
National Provider Identifier
1184789299
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054017263 Issued in IL
Legal business name
LOYOLA UNIVERSITY MEDICAL CENTER
Doing business as
Mulcahy Pharmacy
Practice address
2160 S 1St Ave
BLDG 107
Maywood, IL 60153-3328
Phone
(708) 216-9100
Fax
(708) 216-1554
NPI assigned
Dec 27, 2006
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Larry Goldberg
Title
President and Ceo
Phone
(708) 216-0588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054017263 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
BLDG 107
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
BLDG 107
Maywood, IL 60153-3328
Phone (708) 216-9100

Other names 1

  • MULCAHY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251029004154 IL DME Supplier - PharmacyDME Supplier - Hospital 3779488903 Practice locations: Maywood, IL

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Loyola Univ Meidcal Cen15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 26)

3340 Oak Park Ave
Ste 200
Berwyn, IL 60402
Phone (708) 783-0222

2335 S Wentworth Ave
Ste B
Chicago, IL 60616
Phone (312) 566-4545

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

300 N York St
Elmhurst, IL 60126
Phone (708) 327-7030

2166 Gladstone Ct
#A
Glendale Heights, IL 60139
Phone (630) 307-3637

2166 Gladstone Ct
Ste A
Glendale Heights, IL 60139
Phone (630) 307-3637

1219 W Roosevelt Rd
Maywood, IL 60153
Phone (708) 216-5300

2160 S 1st Ave
Bldg 104
Maywood, IL 60153
Phone (708) 216-1830

2160 S 1st Ave
Bldg 107
Maywood, IL 60153
Phone (708) 216-9100

2160 S 1st Ave
Fl Rms
Maywood, IL 60153

2160 S 1st Ave
Rm 155
Maywood, IL 60153
Phone (708) 327-2277

675 W North Ave
Ste 201
Melrose Park, IL 60160
Phone (708) 450-4994

8780 W Golf Rd
Ste 320
Niles, IL 60714
Phone (847) 983-8891

8307 W Lawrence Ave
Norridge, IL 60706
Phone (708) 327-1480

7005 North Ave
Oak Park, IL 60302
Phone (708) 327-1410

17W740 22nd St
Oakbrook Terrace, IL 60181
Phone (630) 627-7399

1S224 Summit Ave
Ste 107
Oakbrook Terrace, IL 60181
Phone (630) 953-6996

1S224 Summit Ave
Ste 300
Oakbrook Terrace, IL 60181
Phone (630) 953-6600

221 NE Glen Oak Ave
Ste 217
Peoria, IL 61636

900 Main St
Ste 100
Peoria, IL 61602
Phone (309) 671-7772

1310 Maple Dr
Peru, IL 61354
Phone (815) 223-1666

7617 North Ave
River Forest, IL 60305
Phone (708) 771-1300

9651 Irving Park Rd
Schiller Park, IL 60176
Phone (847) 671-2693

17901 La Grange Rd
Ste 2000
Tinley Park, IL 60487
Phone (708) 327-8300

17901 La Grange Rd
Ste 3000
Tinley Park, IL 60487
Phone (708) 327-8300

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
RML Specialty HospitalHinsdale, IL, CCN 142010 Hospital Limited Partnership Interest (49.5%) Aug 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1,147

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.

View all 1,147

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1184789299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "BLDG 107",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9100",
            "fax_number": "708-216-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "BLDG 107",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9100",
            "fax_number": "708-216-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "708-216-0588"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054017263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MULCAHY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.