Nova Pharmacy LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.018834 Issued in IL

Legal business name

NOVA PHARMACY LP

Doing business as

NOVA Pharmacy LP

Practice address

8833 Gross Point Rd Ste 311
Skokie, IL 60077-1859

Phone

(224) 534-0203

Fax

(224) 534-0204

NPI assigned

Oct 20, 2014

Last updated

Mar 29, 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

Fedja Temim

Title

Pharmacist in Charge

Phone

(224) 534-0203

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NOVA Pharmacy LP Doing business as

Locations

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1366846370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 GROSS POINT RD STE 311",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771859",
            "telephone_number": "224-534-0203",
            "fax_number": "224-534-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 GROSS POINT RD STE 311",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771859",
            "telephone_number": "224-534-0203",
            "fax_number": "224-534-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PHARMACY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "TEMIM",
        "authorized_official_first_name": "FEDJA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "224-534-0203"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.018834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA Pharmacy LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Skokie, IL
• Providers in Skokie, 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 Mar 29, 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.