CPTL Home Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054017577 Issued in IL

Legal business name

CPTL HOME PHARMACY INC

Doing business as

CPTL Home Pharmacy, Inc.

Practice address

1410 W Fulton St
Suite 201
Chicago, IL 60607-1110

Phone

(312) 262-4520

Fax

(312) 262-4531

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Evangeline Cooper

Title

President

Phone

(312) 262-4520

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CPTL Home Pharmacy, Inc. Doing business as

Locations

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1346541729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W FULTON ST",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071110",
            "telephone_number": "312-262-4520",
            "fax_number": "312-262-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W FULTON ST",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071110",
            "telephone_number": "312-262-4520",
            "fax_number": "312-262-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPTL HOME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-262-4520"
    },
    "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": "054017577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1485209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPTL Home Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip Paul Cozzi
• Sarah Cozzi, MA, LCPC, NCC
• Alyssa Cozzone, LPC
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• Dawn Craan
• Katherine Crabbe, PTA
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• Sonya V Crabtree-Nelson, PH.D., LCSW
• Benjamin Thomas Crabtree

• 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 Dec 28, 2010; 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.