Ukrianian Village Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054015283 Issued in IL

Legal business name

UKRIANIAN VILLAGE PHARMACY, INC.

Doing business as

PharmaLife Chicago

Practice address

2317 W Chicago Ave
Chicago, IL 60622-4723

Phone

(773) 235-5330

Fax

(773) 235-2674

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Michael Bogachek

Title

General Manager

Phone

(404) 261-7775

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PharmaLife Chicago Doing business as

Locations

Practitioners 1

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

• Irena A Leseiko-Owerko, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1265440374
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1407898067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224723",
            "telephone_number": "773-235-5330",
            "fax_number": "773-235-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224723",
            "telephone_number": "773-235-5330",
            "fax_number": "773-235-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKRIANIAN VILLAGE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BOGACHEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "404-261-7775"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054015283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1477505",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmaLife Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald Ujiki, M.D.
• Ujima Hunger Coalition
• Freda Ukeka, APRN, PMHNP-BC
• Jenny Katherine Ukena, M.D.
• Ozuru Ochu Ukoha, M.D.,
• Dirin Ukwade, MD
• Ukweli Healing & Wellness
• Lawrence J Ulanski II, M.D.
• David Ulaszek, M.D.
• Ulf Henricsson Sports and Health Clinic

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, 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 Aug 17, 2018; 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.