Organization Active NPI

West Suburban Medical Center

  • Community/Retail Pharmacy
  • River Forest, IL
National Provider Identifier
1497829113
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
93013384 Issued in IL
Legal business name
WEST SUBURBAN MEDICAL CENTER
Practice address
7420 Central Ave
River Forest, IL 60305-1800
Phone
(708) 763-2734
Fax
(708) 763-2733
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Ann E. Montgomery, RPH, MS
Title
Director of Pharmacy
Phone
(708) 763-1398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 93013384 IL Primary

Addresses

Primary practice location

7420 Central Ave
River Forest, IL 60305-1800

Mailing address

7420 Central Ave
River Forest, IL 60305-1800
Phone (708) 763-2734

Other names 1

  • Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Suburban Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1497829113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 CENTRAL AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051800",
            "telephone_number": "708-763-2734",
            "fax_number": "708-763-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 CENTRAL AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051800",
            "telephone_number": "708-763-2734",
            "fax_number": "708-763-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "708-763-1398",
        "authorized_official_credential": "RPH, MS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "93013384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.