Organization Active NPI

Harbor Pharmacy Inc

  • Pharmacy
  • Winthrop Harbor, IL
National Provider Identifier
1205973609
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HARBOR PHARMACY INC
Practice address
1707 7TH St
Suite 4
Winthrop Harbor, IL 60096-1656
Phone
(847) 872-5427
Fax
(847) 872-9645
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Amy S Hogan
Title
Manager
Phone
(847) 872-5427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X IL Primary

Addresses

Primary practice location

1707 7TH St
Suite 4
Winthrop Harbor, IL 60096-1656

Mailing address

1707 7TH St
Suite 4
Winthrop Harbor, IL 60096-1656
Phone (847) 872-5427

Other identifiers 2

IdentifierTypeStateIssuer
1428603OtherILNCPDP
04932338OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1205973609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 7TH ST",
            "address_2": "SUITE 4",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961656",
            "telephone_number": "847-872-5427",
            "fax_number": "847-872-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 7TH ST",
            "address_2": "SUITE 4",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961656",
            "telephone_number": "847-872-5427",
            "fax_number": "847-872-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-872-5427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1428603",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04932338",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop Harbor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.