Organization Active NPI

First Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1407175797
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.017335 Issued in IL
Legal business name
FIRST FAMILY PHARMACY INC
Doing business as
First Family Pharmacy, Inc.
Practice address
2140 W Devon Ave Ste 1W
Chicago, IL 60659-2256
Phone
(773) 338-7000
Fax
(773) 338-7111
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Alfredo Villasenor
Title
Pharmacist
Phone
(773) 338-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054.017335 IL Primary

Addresses

Primary practice location

2140 W Devon Ave Ste 1W
Chicago, IL 60659-2256

Mailing address

2140 W Devon Ave Ste 1W
Chicago, IL 60659-2256
Phone (773) 338-7000

Other identifiers 1

IdentifierTypeStateIssuer
2125271OtherPK

Other names 1

  • FIRST FAMILY PHARMACY, INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1407175797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W DEVON AVE STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592256",
            "telephone_number": "773-338-7000",
            "fax_number": "773-338-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W DEVON AVE STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592256",
            "telephone_number": "773-338-7000",
            "fax_number": "773-338-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "773-338-7000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.017335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST FAMILY PHARMACY, INC.",
            "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 15, 2014; 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.