Active NPI
Harbor Pharmacy Inc
- Pharmacy
- Winthrop Harbor, IL
National Provider Identifier
1205973609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1428603 | Other | IL | NCPDP |
| 04932338 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Durable Medical Equipment & Medical Supplies
- Winthrop Harbor, IL
- NPI 1043219652
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Winthrop Harbor, IL
- NPI 1992844773
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.