Organization Active NPI

Mt. Prospect Health Mart Corporation

  • Community/Retail Pharmacy
  • Mount Prospect, IL
National Provider Identifier
1457776148
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MT. PROSPECT HEALTH MART CORPORATION
Practice address
1012 S Elmhurst Rd
Mount Prospect, IL 60056-4240
Phone
(224) 735-2218
Fax
(224) 735-2269
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Sung S Choe
Title
Pharmacist in Charge
Phone
(224) 735-2218

Specialties & licenses 1

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

Addresses

Primary practice location

1012 S Elmhurst Rd
Mount Prospect, IL 60056-4240

Mailing address

1012 S Elmhurst Rd
Mount Prospect, IL 60056-4240
Phone (224) 735-2218

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1457776148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S ELMHURST RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564240",
            "telephone_number": "224-735-2218",
            "fax_number": "224-735-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S ELMHURST RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564240",
            "telephone_number": "224-735-2218",
            "fax_number": "224-735-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PROSPECT HEALTH MART CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "224-735-2218"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.