NPIMap

Organization Active NPI

Sja Pharmacy, Inc

  • Pharmacy
  • Chicago, IL
National Provider Identifier
1396098034
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054018024 Issued in IL
Legal business name
SJA PHARMACY, INC
Practice address
9718 South Halsted Street
Chicago, IL 60628-1007
Phone
(773) 238-4500
Fax
(773) 238-4503
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Shital Manek, PHARM. D
Title
President
Phone
(630) 777-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054018024 IL Primary

Addresses

Primary practice location

9718 South Halsted Street
Chicago, IL 60628-1007

Mailing address

9718 S Halsted St
Chicago, IL 60628-1007
Phone (773) 238-4500

Other names 1

  • Community Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1396098034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281007",
            "telephone_number": "773-238-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 SOUTH HALSTED STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281007",
            "telephone_number": "773-238-4500",
            "fax_number": "773-238-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "MANEK",
        "authorized_official_first_name": "SHITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-777-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054018024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2012; 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.