Organization Active NPI

Dominick'S Pharmacy

  • Pharmacist
  • Palatine, IL
National Provider Identifier
1255631966
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
DOMINICK'S PHARMACY
Practice address
615 E Dundee Rd
Palatine, IL 60074-2817
Phone
(847) 776-1386
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Ming NG, PHARM D
Title
Pharmacy Manager
Phone
(847) 776-1386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X IL Primary

Addresses

Primary practice location

615 E Dundee Rd
Palatine, IL 60074-2817

Mailing address

615 E Dundee Rd
Palatine, IL 60074-2817
Phone (847) 776-1386

National Provider Directory

National Provider Directory

Locations

615 E Dundee Rd
Palatine, IL 60074
Phone (847) 776-1386

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255631966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E DUNDEE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742817",
            "telephone_number": "847-776-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E DUNDEE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742817",
            "telephone_number": "847-776-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICK'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "MING",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "847-776-1386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.