Bartlett Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054019850 Issued in IL

Legal business name

BARTLETT PHARMACY INC

Doing business as

Bartlett Pharmacy

Practice address

300 W Bartlett Ave
Bartlett, IL 60103-4002

Phone

(630) 855-5178

Fax

(630) 855-5672

NPI assigned

Mar 10, 2016

Last updated

May 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nahren Khoshaba, PHARMDNPI 1760088405

Title

President/Owner/Pic

Phone

(630) 855-5178

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bartlett Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Bartlett Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bartlett Pharmacy Inc

  dba Bartlett Pharmacy LTC

  • Long Term Care Pharmacy
  • Bartlett, IL
  • NPI 1710778055
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bartlett Pharmacy Inc

  dba Bartlett Pharmacy LTC

  • Long Term Care Pharmacy
  • Bartlett, IL
  • NPI 1710778055
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nahren Khoshaba, PHARMD

  • Pharmacist
  • Bartlett, IL
  • NPI 1760088405
  NPD Authorized official

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1518328186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BARTLETT AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034002",
            "telephone_number": "630-855-5178",
            "fax_number": "630-855-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BARTLETT AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034002",
            "telephone_number": "630-855-5178",
            "fax_number": "630-855-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "KHOSHABA",
        "authorized_official_first_name": "NAHREN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PIC",
        "authorized_official_telephone_number": "630-855-5178",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054019850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartlett Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bartlett Pharmacy Inc (Bartlett Pharmacy LTC)
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• Bartlett Vision Center PC
• Peter Batz, PT
• Beautiful Mind Therapy

• Community/Retail Pharmacy in Bartlett, IL
• Providers in Bartlett, 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 May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.