Neighborhood Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054016764 Issued in IL

Legal business name

NEIGHBORHOOD PHARMACY INC

Practice address

11600 S Kedzie Ave
Merrionette Park, IL 60803-6307

Phone

(708) 389-5300

Fax

(708) 389-5309

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Ernest Riedl, B.S.

Title

Pharmacist in Charge

Phone

(708) 389-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEIGHBORHOOD PHARMACY INC Doing business as

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1447582796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036307",
            "telephone_number": "708-389-5300",
            "fax_number": "708-389-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036307",
            "telephone_number": "708-389-5300",
            "fax_number": "708-389-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "RIEDL",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "708-389-5300",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1484118",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEIGHBORHOOD PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Katherine Moloney
• Jocelyn Morales
• Alyssia Morley, DO
• MRI Associates of Illinois SC
• Deanne Lynn Murphy, PTA
• Nora O'Byrne, MD
• Michele Obeid, MD
• Anne Margaret Ortiz, MSW
• Osf Multi-Specialty Group
• Kimberly Paniagua

• Community/Retail Pharmacy in Merrionette Park, IL
• Providers in Merrionette Park, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.