Simsum Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054034923 Issued in IL

Legal business name

SIMSUM INC

Doing business as

MEDICAL ARTS PHARMACY

Practice address

625 Bethany Rd Ste 2
Dekalb, IL 60115-4908

Phone

(815) 758-3100

Fax

(815) 758-3105

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Smulkaitis

Title

Phcy MGR

Phone

(815) 758-3100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDICAL ARTS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1285660910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BETHANY RD STE 2",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154908",
            "telephone_number": "815-758-3100",
            "fax_number": "815-758-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BETHANY RD STE 2",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154908",
            "telephone_number": "815-758-3100",
            "fax_number": "815-758-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMSUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "SMULKAITIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHCY MGR",
        "authorized_official_telephone_number": "815-758-3100"
    },
    "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": "054034923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1475842",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ARTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilli A Shembor Bishop, M.A., C.C.C.
• Katherine Sherman
• Shoptikal LLC
• Sabet Siddiqui, M.D.
• Sabhia Sims
• Abigail Sipes
• Robert E. Skabo, O.D
• Monique E Slad, MBA, RD, LDN
• Allison Smith
• Amanda Cathleen Smith, FNP-BC

• Community/Retail Pharmacy in Dekalb, IL
• Providers in Dekalb, 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 Jun 1, 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.