Organization Active NPI

Shree Pharmacy Inc

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1437164084
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHREE PHARMACY INC
Doing business as
SHREE PHARMACY
Practice address
1624 W Montrose Ave Ste a
Chicago, IL 60613-1214
Phone
(773) 907-0407
Fax
(773) 907-0560
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Kiran Kumar Chenna
Title
Secretary
Phone
(551) 998-2115

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1624 W Montrose Ave Ste a
Chicago, IL 60613-1214

Mailing address

1624 W Montrose Ave Ste a
Chicago, IL 60613-1214
Phone (773) 907-0407

Other identifiers 1

IdentifierTypeStateIssuer
2021159OtherPK

Other names 1

  • SHREE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115000704 IL Part B Supplier - Pharmacy 8022280148 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1624 W Montrose Ave
Ste A
Chicago, IL 60613
Phone (773) 907-0407

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1437164084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W MONTROSE AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131214",
            "telephone_number": "773-907-0407",
            "fax_number": "773-907-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W MONTROSE AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131214",
            "telephone_number": "773-907-0407",
            "fax_number": "773-907-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "CHENNA",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "551-998-2115"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHREE 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 Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.