Organization Active NPI

CL Pharmacy LLC

Doing business as Crystal Lake Pharmacy

  • Community/Retail Pharmacy
  • Crystal Lake, IL
National Provider Identifier
1437984556
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CL PHARMACY LLC
Doing business as
Crystal Lake Pharmacy
Practice address
241 Commerce Dr Ste 102
Crystal Lake, IL 60014-3538
Phone
(779) 800-2340
Fax
(779) 800-2341
NPI assigned
Sep 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Dr. George Joseph, PHARMDNPI 1346852621
Title
Pharmacist-in-Charge
Phone
(779) 800-2340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

241 Commerce Dr Ste 102
Crystal Lake, IL 60014-3538

Mailing address

241 Commerce Dr Ste 102
Crystal Lake, IL 60014-3538
Phone (779) 800-2340

Other names 1

  • Crystal Lake Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

241 Commerce Dr
Ste 102
Crystal Lake, IL 60014
Phone (779) 800-2340

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1437984556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 COMMERCE DR STE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143538",
            "telephone_number": "779-800-2340",
            "fax_number": "779-800-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 COMMERCE DR STE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143538",
            "telephone_number": "779-800-2340",
            "fax_number": "779-800-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "779-800-2340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Lake Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.