J S Vitamins and More Inc
Organization Active NPI Community/Retail Pharmacy · Circero, IL
NPI 1437332467 · NPPES record last updated Oct 8, 2010
Key facts
- NPI
- 1437332467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054016342 (IL)
- Legal business name
- J S VITAMINS AND MORE INC
- Practice address
- 4785 W Cermatz
Circero, IL 60804 - Phone
- (708) 656-1917
- Fax
- (708) 656-1919
- NPI assigned
- Dec 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Jack Bleichman
- Title
- Owner
- Phone
- (708) 656-1917
National Provider Directory
Locations
4785 W Cermak Rd
Cicero, IL 60804
Phone (708) 656-1917
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054016342 | IL | Yes |
Addresses
Primary practice location
4785 W Cermatz
Circero, IL 60804
Mailing address
4785 W Cermatz
Circero, IL 60804
Phone (708) 656-1917
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1481453 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- HAWTHORNE HEALTH AND PHARMACY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.