Bartlett Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Bartlett, IL
NPI 1518328186 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1518328186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054019850 (IL)
- Legal business name
- BARTLETT PHARMACY INC
- Practice address
- 300 W Bartlett Ave
Bartlett, IL 60103-4002 - Phone
- (630) 855-5178
- Fax
- (630) 855-5672
- NPI assigned
- Mar 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Nahren Khoshaba, PHARMD
- Title
- President/Owner/Pic
- Phone
- (630) 855-5178
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 1
-
Nahren Khoshaba, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160504000563 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800195421 | Practice locations: Bartlett, IL |
National Provider Directory
- Tax ID family
- Bartlett Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054019850 | IL | Yes |
Addresses
Primary practice location
300 W Bartlett Ave
Bartlett, IL 60103-4002
Mailing address
300 W Bartlett Ave
Bartlett, IL 60103-4002
Phone (630) 855-5178
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159026 | Other | PK |
Other names
- Bartlett Pharmacy
Other providers in Bartlett, IL
- Bartlett Home Physicians Inc
- Bartlett Home Solutions, Inc
- Bartlett Implants & Dentures
- Bartlett Learning Center
- Bartlett Medical Associates SC
- Bartlett Pharmacy Inc
- Bartlett SLF LLC
- Bartlett Vision Center PC
- Peter Batz
- Beautiful Mind Therapy
All providers in Bartlett, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.