Active NPI
Health Mart Pharmacy Inc
- Community/Retail Pharmacy
- Wheeling, IL
National Provider Identifier
1366469009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054013667
- Legal business name
- HEALTH MART PHARMACY INC
- Practice address
- 81 S Milwaukee Ave
Wheeling, IL 60090-3120 - Phone
- (847) 419-0202
- Fax
- (847) 419-0222
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Kass
- Title
- Pic
- Phone
- (847) 419-0202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 054013667 | IL | Primary |
Addresses
Primary practice location
81 S Milwaukee Ave
Wheeling, IL 60090-3120
Mailing address
81 S Milwaukee Ave
Wheeling, IL 60090-3120
Phone (847) 419-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467819 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- HEALTH MART PHARMACY
National Provider Directory
National Provider DirectoryLocations
81 S Milwaukee Ave
Wheeling, IL 60090
Phone (847) 419-0202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314662400000",
"number": "1366469009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 S MILWAUKEE AVE",
"city": "WHEELING",
"state": "IL",
"postal_code": "600903120",
"telephone_number": "847-419-0202",
"fax_number": "847-419-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 S MILWAUKEE AVE",
"city": "WHEELING",
"state": "IL",
"postal_code": "600903120",
"telephone_number": "847-419-0202",
"fax_number": "847-419-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH MART PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2011-08-30",
"status": "A",
"authorized_official_last_name": "KASS",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "847-419-0202"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "054013667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1467819",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEALTH MART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.