Organization Active NPI

Health Mart Pharmacy Inc

  • Community/Retail Pharmacy
  • Wheeling, IL
National Provider Identifier
1366469009
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054013667 Issued in IL
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

Updated by the provider on Aug 30, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1467819OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HEALTH MART PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.