Bubblepack Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

058013571 Issued in IL

Legal business name

BUBBLEPACK PHARMACY, INC

Practice address

2202 Essington Rd
Suite 104
Joliet, IL 60435-1634

Phone

(815) 725-1102

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Hemangini Thaker

Title

President

Phone

(815) 725-1102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1366565962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 ESSINGTON RD",
            "address_2": "SUITE 104",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 ESSINGTON RD",
            "address_2": "SUITE 104",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351634",
            "telephone_number": "815-725-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUBBLEPACK PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "THAKER",
        "authorized_official_first_name": "HEMANGINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-725-1102"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "058013571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa J Bruno, LCPC
• Richard J Bryniarski, P.T.
• Ralph A. Bryson, RPH
• BTD Rehab LLC
• Bubblepack Pharmacy Inc
• Cara Buchanan
• Erica Lynn Buchenau, OTR/L
• Mark Buchholz, PT
• Deepika Buchupalli, M.D.
• Theresa Bucy, APN, NP-C

• All providers in Joliet, IL
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.