Organization Active NPI

Resurrection Services

Doing business as Westlake Medical Arts Pharmacy

  • Pharmacist
  • Melrose Park, IL
National Provider Identifier
1265509087
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
RESURRECTION SERVICES
Doing business as
Westlake Medical Arts Pharmacy
Practice address
1111 Superior St
Suite 103
Melrose Park, IL 60160-4138
Phone
(708) 938-7213
Fax
(708) 681-6178
NPI assigned
Nov 29, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RESURRECTION SERVICESAs reported in NPPES

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
Usma Khan, PHARMD
Title
Pharmacy Manager
Phone
(708) 938-7213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IL
Pharmacist 183500000X IL Primary

Addresses

Primary practice location

1111 Superior St
Suite 103
Melrose Park, IL 60160-4138

Mailing address

1111 Superior St
Suite 103
Melrose Park, IL 60160-4138
Phone (708) 938-7213

Other names 1

  • Westlake Medical Arts Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mehroo Patel MD24 organizations share this tax ID, including this one
Part of
Mehroo Patel MD

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

1111 Superior St
Ste 103
Melrose Park, IL 60160
Phone (708) 938-7213

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265509087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 103",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-938-7213",
            "fax_number": "708-681-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 103",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-938-7213",
            "fax_number": "708-681-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESURRECTION SERVICES",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "USMA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "708-938-7213",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Medical Arts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose Park, 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.