Suzanne Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUZANNE PHARMACY INC.

Doing business as

Crescent Pharmacy

Practice address

4647 W 103Rd St Ste 1a
Oak Lawn, IL 60453-4792

Phone

(708) 774-9944

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

Richard Cahgoya

Title

Corporate Officer

Phone

(773) 847-6160

Specialties & licenses 1

Addresses

Other names 1

• Crescent Pharmacy Doing business as

Tax ID family

Crescent Pharmacy2 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.

• Suzanne Pharmacy Inc.

  • Pharmacist
  • Oak Lawn, IL
  • NPI 1871959247
  NPD tax ID

Locations

Practitioners 1

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

• Bassel Y Joudeh

  • Pharmacist
  • Orland Park, IL
  • NPI 1083760383
  NPD

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1528429909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST STE 1A",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST STE 1A",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534792",
            "telephone_number": "708-774-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "CAHGOYA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "773-847-6160"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary T Super, APN
• Parimal K Sura, M.D.
• Surgery Center of Illinois LLC
• Surgical Partners
• Susan C Apolinario (Susan Chua Apolinario, M.D.)
• Suzanne Pharmacy Inc.
• Mary E Swanson, MOT, OTR/L
• Jill Sweeney, OTR/L
• Robert Sweet, D.P.T
• Rochelle Tayel Sweis

• Community/Retail Pharmacy in Oak Lawn, IL
• Providers in Oak Lawn, 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 Mar 14, 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.