Hanover Pharmacy, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HANOVER PHARMACY, LLC.

Practice address

1802 Irving Park Rd
Suite 201
Hanover Park, IL 60133-3254

Phone

(708) 831-5910

Fax

(708) 831-5912

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Chetan Patel, PHARM.D.

Title

President

Phone

(708) 831-5910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1508315268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "708-831-5910",
            "fax_number": "708-831-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 IRVING PARK RD",
            "address_2": "SUITE 201",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333254",
            "telephone_number": "708-831-5910",
            "fax_number": "708-831-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-831-5910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena D Hain, B.A.
• Susanne Michele Hall, P.T.
• Hanover Dental PC
• Hanover Park Dental Clinic, LLC
• Hanover Park Physical Medicine & Rehabilitation LTD
• Hanover Smile Dental P.C.
• Kathleen Marie Hansen, DDS
• Hansen&Hansen DDS LDT
• Harris Chiropractic, Inc
• Steven Roger Harris, D.C.

• Community/Retail Pharmacy in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.