NPIMap

Organization Active NPI

Dupage County

Doing business as DuPage Care Center Outpatient Pharmacy

  • Clinic Pharmacy
  • Wheaton, IL
National Provider Identifier
1427142702
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
054017337 Issued in IL
Legal business name
DUPAGE COUNTY
Doing business as
DuPage Care Center Outpatient Pharmacy
Practice address
400 N County Farm Rd
RM G322
Wheaton, IL 60187-3908
Phone
(630) 784-4288
Fax
(630) 784-4284
NPI assigned
Oct 3, 2006
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Dr. Jonathan Anthony Klimek, PHARMDNPI 1982208062
Title
Pharmacy Manager
Phone
(630) 784-4275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 054017337 IL Primary

Addresses

Primary practice location

400 N County Farm Rd
RM G322
Wheaton, IL 60187-3908

Mailing address

400 N County Farm Rd
RM G322
Wheaton, IL 60187-3908
Phone (630) 784-4288

Other identifiers 1

IdentifierTypeStateIssuer
2021527OtherPK

Other names 1

  • DuPage Care Center Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Du Page Convalescent Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

400 N County Farm Rd
Rm G322
Wheaton, IL 60187
Phone (630) 784-4288

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1427142702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N COUNTY FARM RD",
            "address_2": "RM G322",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873908",
            "telephone_number": "630-784-4288",
            "fax_number": "630-784-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N COUNTY FARM RD",
            "address_2": "RM G322",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873908",
            "telephone_number": "630-784-4288",
            "fax_number": "630-784-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "KLIMEK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "630-784-4275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "054017337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage Care Center Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.