NPIMap

Organization Active NPI

Health Delivery Management L L C

Doing business as Rush Cancer Center Pharmacy

  • Clinic Pharmacy
  • Chicago, IL
National Provider Identifier
1306926506
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
54011633 Issued in IL
Legal business name
HEALTH DELIVERY MANAGEMENT L L C
Doing business as
Rush Cancer Center Pharmacy
Practice address
1520 W Harrison St Ste 9115
Chicago, IL 60607-3106
Phone
(312) 563-2363
Fax
(312) 942-2330
NPI assigned
Oct 16, 2006
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Matthew KemperNPI 1811460884
Title
Secretary/Directo
Phone
(312) 563-2326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X 54011633 IL Primary

Addresses

Primary practice location

1520 W Harrison St Ste 9115
Chicago, IL 60607-3106

Mailing address

PO Box 88273
Chicago, IL 60680-1273
Phone (312) 563-3222

Other identifiers 1

IdentifierTypeStateIssuer
2023410OtherPK

Other names 1

  • Rush Cancer Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040508000075 IL Part B Supplier - Other 7416946124 Practice locations: Chicago, IL
O20100930022077 IL DME Supplier - Pharmacy 7416946124 Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Health Delivery Management L L C9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1201 W Harrison St
Ste 201
Chicago, IL 60607

1520 W Harrison St
Rm 9021
Chicago, IL 60607
Phone (312) 563-2363

1520 W Harrison St
Ste 9115
Chicago, IL 60607
Phone (312) 563-2363

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1306926506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88273",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606801273",
            "telephone_number": "312-563-3222",
            "fax_number": "312-563-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W HARRISON ST STE 9115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073106",
            "telephone_number": "312-563-2363",
            "fax_number": "312-942-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DELIVERY MANAGEMENT L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SECRETARY/DIRECTO",
        "authorized_official_telephone_number": "312-563-2326"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "54011633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.