HM Pharmacy of Winnetka Incorporated

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

HM PHARMACY OF WINNETKA INCORPORATED

Doing business as

Conneys Pharmacy LTC

Practice address

736 Elm St
Winnetka, IL 60093-2578

Phone

(847) 446-0032

Fax

(847) 446-1574

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Mark Jacobs, PHARMD

Title

Pharmacist

Phone

(847) 361-5695

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Conneys Pharmacy LTC Doing business as

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1306505912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 ELM ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932578",
            "telephone_number": "847-446-0032",
            "fax_number": "847-446-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 ELM ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932578",
            "telephone_number": "847-446-0032",
            "fax_number": "847-446-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HM PHARMACY OF WINNETKA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "847-361-5695",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "054018916",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conneys Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Hasmonek
• Kyle Hawley
• Michael Hendon, LPC
• Lail L. Herman, PH.D
• HM Pharmacy of Winnetka Incorporated
• Sally Jane Hoit, PSY.D.
• Mary Nancy Hollis
• Briton Edward Holmberg, LCSW
• Hubbard Woods Dental Group
• Industrial Optical Service, Inc

• Long Term Care Pharmacy in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.