Maywood Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

MAYWOOD PHARMACY INC

Practice address

318 W Madison St
Maywood, IL 60153-2151

Phone

(708) 345-7167

Fax

(708) 345-7167

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jagdish C Shah

Title

President

Phone

(708) 345-7167

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467494864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W MADISON ST",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532151",
            "telephone_number": "708-345-7167",
            "fax_number": "708-345-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W MADISON ST",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532151",
            "telephone_number": "708-345-7167",
            "fax_number": "708-345-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-345-7167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455725",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Franklin Mayhew, MD
• Maywood Community Pharmacy LLC
• Maywood Dental Excellence
• Maywood Family Dental, LTD
• Maywood Melrose Broadview 89
• Maywood SLF I LP
• Alaleh Mazhari, D.O.
• MB Care Medical Supply Inc
• Lindsey McAlarnen, M.D.
• Cristal McAninch, MS, CGC

• Pharmacist in Maywood, IL
• Providers in Maywood, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.