Organization Active NPI

Vivek Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1396813408
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054011268 Issued in IL
Legal business name
VIVEK PHARMACY, INC.
Practice address
300 E Pershing Rd
Chicago, IL 60653-2204
Phone
(773) 548-3133
Fax
(773) 913-2335
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Bankim Desai
Title
Owner
Phone
(773) 548-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054011268 IL Primary

Addresses

Primary practice location

300 E Pershing Rd
Chicago, IL 60653-2204

Mailing address

300 E Pershing Rd
Chicago, IL 60653-2204
Phone (773) 548-3133

Other identifiers 1

IdentifierTypeStateIssuer
1462908OtherILNABP NUMBER

National Provider Directory

National Provider Directory

Locations

300 E Pershing Rd
Chicago, IL 60653
Phone (773) 548-3131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1396813408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532204",
            "telephone_number": "773-548-3133",
            "fax_number": "773-751-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532204",
            "telephone_number": "773-548-3133",
            "fax_number": "773-913-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVEK PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "BANKIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-548-3133"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054011268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1462908",
            "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 24, 2020; 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.