NPIMap

Organization Active NPI

Osco Pharmacy

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1457781445
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
051.297138 Issued in IL
Legal business name
OSCO PHARMACY
Practice address
2633 W Farragut Ave Apt 1E
Chicago, IL 60625-3326
Phone
(773) 865-2776
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Dr. Gwen Hoang Pham
Title
Pharmd
Phone
(773) 865-2776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 051.297138 IL Primary

Addresses

Primary practice location

2633 W Farragut Ave Apt 1E
Chicago, IL 60625-3326

Mailing address

2633 W Farragut Ave Apt 1E
Chicago, IL 60625-3326
Phone (773) 865-2776

National Provider Directory

National Provider Directory
Tax ID family
Osco Drug 956185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1457781445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 W FARRAGUT AVE APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253326",
            "telephone_number": "773-865-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 W FARRAGUT AVE APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253326",
            "telephone_number": "773-865-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "773-865-2776",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "051.297138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.