Organization Active NPI

Reidy Medical Pharmacy

  • Pharmacy
  • Tinley Park, IL
National Provider Identifier
1265567440
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054006056 Issued in IL
Legal business name
REIDY MEDICAL PHARMACY
Practice address
18210 La Grange Rd
101
Tinley Park, IL 60477-7722
Phone
(708) 478-3418
Fax
(708) 478-4743
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Mr. Duane P Reidy, RPHNPI 1154462208
Title
Pharmacist
Phone
(708) 478-3418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054006056 IL Primary

Addresses

Primary practice location

18210 La Grange Rd
101
Tinley Park, IL 60477-7722

Mailing address

18210 La Grange Rd
101
Tinley Park, IL 60477-7722
Phone (708) 478-3418

National Provider Directory

National Provider Directory

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1265567440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "101",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604777722",
            "telephone_number": "708-478-3418",
            "fax_number": "708-478-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "101",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604777722",
            "telephone_number": "708-478-3418",
            "fax_number": "708-478-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIDY MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "REIDY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "708-478-3418",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054006056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.