Hydra Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HYDRA PHARMACY LLC

Practice address

17W735 Butterfield Rd Ste C
Oakbrook Terrace, IL 60181-4206

Phone

(630) 828-6978

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Nima Matin, PHARMDNPI 1154096303

Title

Pharmacy Manager

Phone

(630) 828-6978

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nima Matin, PHARMD

  • Pharmacist
  • Oakbrook Terrace, IL
  • NPI 1154096303
  NPD Authorized official

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1508412917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W735 BUTTERFIELD RD STE C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814206",
            "telephone_number": "630-828-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W735 BUTTERFIELD RD STE C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814206",
            "telephone_number": "630-828-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "MATIN",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "630-828-6978",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, 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 Aug 12, 2019; 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.