Active NPI
Reidy Medical Pharmacy
- Pharmacy
- Tinley Park, IL
National Provider Identifier
1265567440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 054006056
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Duane P Reidy, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tinley Park, IL
- NPI 1154462208
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.