Organization Active NPI

Towncare Pharmacy LLC

  • Community/Retail Pharmacy
  • Crestwood, IL
National Provider Identifier
1447668934
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.018573 Issued in IL
Legal business name
TOWNCARE PHARMACY LLC
Practice address
13805 Cicero Ave
Crestwood, IL 60418-1826
Phone
(708) 388-2329
Fax
(708) 388-2328
NPI assigned
Jul 28, 2014
Last updated
Apr 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Anene Dike, BS PHARMNPI 1912278268
Title
Pharmacy Manager
Phone
(708) 388-2329

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 054.018573 IL Primary
Long Term Care Pharmacy 3336L0003X NU
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

13805 Cicero Ave
Crestwood, IL 60418-1826

Mailing address

13805 Cicero Ave
Crestwood, IL 60418-1826
Phone (708) 388-2329

Other identifiers 1

IdentifierTypeStateIssuer
2147143OtherPK

National Provider Directory

National Provider Directory

Locations

13180 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-4810

13805 Cicero Ave
Crestwood, IL 60418
Phone (708) 388-2329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1447668934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13805 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181826",
            "telephone_number": "708-388-2329",
            "fax_number": "708-388-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13805 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181826",
            "telephone_number": "708-388-2329",
            "fax_number": "708-388-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "DIKE",
        "authorized_official_first_name": "ANENE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "708-388-2329",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.018573",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.