Englewood RX Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

054013612 Issued in IL

Legal business name

ENGLEWOOD RX PHARMACY, INC.

Practice address

6508 S Halsted St
Chicago, IL 60621-2616

Phone

(773) 994-0247

Fax

(773) 994-1071

NPI assigned

Jan 1, 2007

Last updated

Mar 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anish Vadiwala

Title

President

Phone

(773) 994-0247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552176000000",
    "number": "1295891315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212616",
            "telephone_number": "773-994-0247",
            "fax_number": "773-994-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212616",
            "telephone_number": "773-994-0247",
            "fax_number": "773-994-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD RX PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2019-03-10",
        "status": "A",
        "authorized_official_last_name": "VADIWALA",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-994-0247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054013612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Englewood Community Connection Outreach
• Englewood Community Outreach
• Englewood Dental Care
• Englewood Management Health, S.C.
• Englewood Pediatrics SC
• Englewood Satellite Senior Center
• Melissa Bates English Bailey, PSYD
• English Ridge Services, Inc.
• Amara Caimitte English
• Carol Wier English, APN

• Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; 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.