Active NPI
Shree Pharmacy Inc
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1437164084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021159 | Other | PK |
Other names 1
- SHREE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241115000704 | IL | Part B Supplier - Pharmacy | 8022280148 | Practice locations: Chicago, IL |
National Provider Directory
National Provider DirectoryLocations
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.