Mexicare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054016687 Issued in IL

Legal business name

MEXICARE INC

Doing business as

MexiCare Pharmacy

Practice address

3200 W 26TH St
Chicago, IL 60623-4031

Phone

(773) 890-1800

Fax

(773) 890-1802

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Jawad Hamdan, PHARMDNPI 1043813694

Title

Pic/Owner

Phone

(708) 336-9002

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MexiCare Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jawad H Hamdan, PHARMD

  • Pharmacist
  • Chicago, IL
  • NPI 1043813694

  Critical Care

  NPD Authorized official
• Audrey Nadia Galal, PHARMD

  • Pharmacist
  • Chicago, IL
  • NPI 1811577331
  NPD (past)
• Ammar Sunbulli

  • Pharmacist
  • Chicago, IL
  • NPI 1225624976
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1205061124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234031",
            "telephone_number": "773-890-1800",
            "fax_number": "773-890-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234031",
            "telephone_number": "773-890-1800",
            "fax_number": "773-890-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXICARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "708-336-9002",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MexiCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbey Elizabeth Metzler, LCSW
• Brennan Joseph Metzler, DDS
• Andrew Louis Metzman, MD
• Alexis M Meuche
• Aubrey Jane Meunier
• Nicole Meyer Klarich, LCPC
• Andria Meyer, DO
• Barbara E Meyer, PHD
• Benjamin Joachim Meyer, MD
• Catherine Meyer, MD

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, 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 Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.