Halsted Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054-017440 Issued in IL

Legal business name

HALSTED PHARMACY INC

Practice address

1460 N Halsted St Ste 101
Chicago, IL 60642-2620

Phone

(312) 624-9397

Fax

(312) 624-8826

NPI assigned

Jun 9, 2010

Organization subpart

No

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

Authorized official

Name

Renny Kurup, PHARMD

Title

Dir of Pharmacy/Secretary

Phone

(312) 624-9397

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Halsted Pharmacy Doing business as

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1285954545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422620",
            "telephone_number": "312-624-9397",
            "fax_number": "312-624-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422620",
            "telephone_number": "312-624-9397",
            "fax_number": "312-624-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSTED PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "KURUP",
        "authorized_official_first_name": "RENNY",
        "authorized_official_title_or_position": "DIR OF PHARMACY/SECRETARY",
        "authorized_official_telephone_number": "312-624-9397",
        "authorized_official_credential": "PHARMD"
    },
    "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": "054-017440",
            "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": "2125361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halsted Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael R. Halpern, M.D.
• Stephanie Smith Halpern, M.S.W., L.C.S.W.
• Kelsey Halpin, MSN, RN
• Laura Madeline Halprin, MSN, CPNP-AC
• Halsted Eye Boutique, Inc.
• Halsted Terrace Nursing Center Inc
• Timothy Philip Halt, D.O.
• Amy Halverson, MD
• Melissa Marie Halverson, DNP, NP-C
• Nathan Halverson, D.C.

• 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 18, 2016; 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.