Addison Pharmacy & Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADDISON PHARMACY & MEDICAL SUPPLY

Practice address

441 W Lake St
Addison, IL 60101-2316

Phone

(630) 543-0988

Fax

(630) 543-0918

NPI assigned

Aug 12, 2014

Last updated

Jan 12, 2016By 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

Mrs. Kerul Mehta, RPH

Title

Pharmacy Manager

Phone

(630) 543-0988

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Addison Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Addison Pharmacy, Inc

  dba Westchester Pharmacy

  • Community/Retail Pharmacy
  • Bellwood, IL
  • NPI 1104217389
  NPD tax ID

Locations

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1326457565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012305",
            "telephone_number": "630-543-0988",
            "fax_number": "630-543-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012316",
            "telephone_number": "630-543-0988",
            "fax_number": "630-543-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON PHARMACY & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "KERUL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "630-543-0988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1475791",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addison Behavioral Health LLC
• Addison Fire Protection District No 1
• Addison Medical Associates LTD (Medical Square)
• Addison Medical Office, Inc
• Addison Medical Square, LTD.
• Addison Pharmacy Inc
• Addison Podiatry Center PLLC
• Addison School District 4
• Addison Swift Dental Center PLLC (Addison Smiles)
• Neerja Aggarwal, DDS

• Durable Medical Equipment & Medical Supplies in Addison, IL
• Providers in Addison, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.