Little Village Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054016636 Issued in IL

Legal business name

LITTLE VILLAGE PHARMACY INC

Practice address

3811 W 26TH St
Chicago, IL 60623-3808

Phone

(773) 522-2121

Fax

(773) 522-4040

NPI assigned

Apr 3, 2009

Organization subpart

No

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

Authorized official

Name

Mitesh D PatelNPI 1861606287

Title

Pharmacy Manager

Phone

(708) 303-5151

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• LITTLE VILLAGE PHARMACY, INC Doing business as
• PROPACK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Little Village Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Little Village Pharmacy Inc

  • Long Term Care Pharmacy
  • Chicago, IL
  • NPI 1093417628
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Little Village Pharmacy Inc

  • Long Term Care Pharmacy
  • Chicago, IL
  • NPI 1093417628
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitesh D Patel, PHARM.D

  • Pharmacist
  • Hoffman Estates, IL
  • NPI 1861606287
  NPD Authorized official

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1275775330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233808",
            "telephone_number": "773-522-2121",
            "fax_number": "773-522-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233808",
            "telephone_number": "773-522-2121",
            "fax_number": "773-522-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "708-303-5151"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016636",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LITTLE VILLAGE PHARMACY, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROPACK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Little Sisters of the Poor Chicago Inc
• Little Steps, Big Strides, LLC
• Little Village Dental PC
• Little Village Nursing and Rehabilitation Center, LLC
• Little Village Pharmacy Inc
• Little Village Womens Health LLC
• Little Village Womens Health LLC
• Little You, Inc.
• Lyshunda Little-Poe, PTA
• Anna Little, SLP, CLC

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, 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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.