Organization Active NPI

Villa Park Pharmacy Inc

  • Community/Retail Pharmacy
  • Villa Park, IL
National Provider Identifier
1285029439
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054-019358 Issued in IL
Legal business name
VILLA PARK PHARMACY INC
Practice address
616 N Addison Rd
Villa Park, IL 60181-1419
Phone
(630) 501-0751
Fax
(630) 501-0837
NPI assigned
Apr 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Atit Amin
Title
Pharmacist in Charge
Phone
(630) 501-0751

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054-019358 IL Primary

Addresses

Primary practice location

616 N Addison Rd
Villa Park, IL 60181-1419

Mailing address

616 N Addison Rd
Villa Park, IL 60181-1419
Phone (630) 501-0751

Other identifiers 1

IdentifierTypeStateIssuer
2151236OtherPK

Other names 1

  • Villa Park Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

616 N Addison Rd
Villa Park, IL 60181
Phone (630) 501-0751

NPI Registry JSON

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1285029439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419",
            "telephone_number": "630-501-0751",
            "fax_number": "630-501-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419",
            "telephone_number": "630-501-0751",
            "fax_number": "630-501-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-04",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "ATIT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "630-501-0751"
    },
    "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": "054-019358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.