Organization Active NPI

Rolet Pharmacy, Inc

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1184789844
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-041000 Issued in IL
Legal business name
ROLET PHARMACY, INC
Practice address
6032 S. Halsted St.
Chicago, IL 60621
Phone
(773) 994-7762
Fax
(773) 994-2912
NPI assigned
Dec 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Mr. Afzal Siddiqui, PHARMD, RPH
Title
Pharmacist
Phone
(773) 994-7762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 051034263 IL
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 051-041000 IL Primary
Community/Retail Pharmacy 3336C0003X 054-017812 IL

Addresses

Primary practice location

6032 S. Halsted St.
Chicago, IL 60621

Mailing address

6032 S. Halsted St.
Chicago, IL 60621
Phone (773) 994-7762

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1184789844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 S. HALSTED ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60621",
            "telephone_number": "773-994-7762",
            "fax_number": "773-994-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 S. HALSTED ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60621",
            "telephone_number": "773-994-7762",
            "fax_number": "773-994-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLET PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "AFZAL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "773-994-7762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051034263",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-041000",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-017812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 21, 2013; 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.