Organization Active NPI

Tri Star Pharmacy Inc

  • Clinic Pharmacy
  • Chicago, IL
National Provider Identifier
1518157528
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
5416229 Issued in IL
Legal business name
TRI STAR PHARMACY INC
Practice address
5310 N Sheridan Rd
Chicago, IL 60640-2514
Phone
(773) 334-9646
Fax
(773) 334-9648
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Katie Lindsey
Title
Pharmacist
Phone
(773) 334-9646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 5416229 IL Primary

Addresses

Primary practice location

5310 N Sheridan Rd
Chicago, IL 60640-2514

Mailing address

5310 N Sheridan Rd
Chicago, IL 60640-2514

Other identifiers 1

IdentifierTypeStateIssuer
1481059OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Tri Star Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1518157528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402514",
            "telephone_number": "773-334-9646",
            "fax_number": "773-334-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "773-334-9646"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "5416229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1481059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri Star Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 2, 2009; 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.