Elgin West Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054-017931 Issued in IL

Legal business name

ELGIN WEST PHARMACY INC

Practice address

1554 Todd Farm Dr
Elgin, IL 60123-1287

Phone

(847) 627-4600

Fax

(847) 627-4652

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Arvind Surti, RPH

Title

Pharmicist in Charge

Phone

(847) 627-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ELGIN WEST PHARMACY INC Doing business as

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1235405663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 TODD FARM DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231287",
            "telephone_number": "847-627-4600",
            "fax_number": "847-627-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 TODD FARM DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231287",
            "telephone_number": "847-627-4600",
            "fax_number": "847-627-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN WEST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "SURTI",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "PHARMICIST IN CHARGE",
        "authorized_official_telephone_number": "847-627-4600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-017931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELGIN WEST PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Elgin, IL
• Providers in Elgin, 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 Jul 20, 2016; 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.