Organization Active NPI

Apotheco Pharmacy Lincoln Park LLC

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1386078830
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018252 Issued in IL
Legal business name
APOTHECO PHARMACY LINCOLN PARK LLC
Practice address
2140 N Halsted St
Chicago, IL 60614-4385
Phone
(312) 392-5801
Fax
(815) 784-3667
NPI assigned
Sep 1, 2013
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Mr. Anush Amin
Title
President & Officer
Phone
(973) 869-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054018252 IL Primary

Addresses

Primary practice location

2140 N Halsted St
Chicago, IL 60614-4385

Mailing address

788 Morris Turnpike
FL 3
Short Hills, NJ 07078
Phone (973) 869-2820

Other identifiers 1

IdentifierTypeStateIssuer
462488983001MedicaidIL

National Provider Directory

National Provider Directory

Locations

228 W Main St
Genoa, IL 60135
Phone (815) 784-2122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1386078830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 MORRIS TURNPIKE",
            "address_2": "FL 3",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "07078",
            "telephone_number": "973-869-2820",
            "fax_number": "973-869-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144385",
            "telephone_number": "312-392-5801",
            "fax_number": "815-784-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECO PHARMACY LINCOLN PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-01",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "ANUSH",
        "authorized_official_title_or_position": "PRESIDENT & OFFICER",
        "authorized_official_telephone_number": "973-869-2820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462488983001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.