Organization Active NPI

Matel Pharmacy LTD

  • Clinic Pharmacy
  • Chicago, IL
National Provider Identifier
1538248075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
MATEL PHARMACY LTD
Practice address
4714 S Cicero Ave
Chicago, IL 60638-2027
Phone
(773) 767-3600
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vinod M Patel, RPH
Title
Pharmacist
Phone
(773) 767-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X IL Primary

Addresses

Primary practice location

4714 S Cicero Ave
Chicago, IL 60638-2027

Mailing address

4714 S Cicero Ave
Chicago, IL 60638-2027
Phone (773) 767-3600

National Provider Directory

National Provider Directory

Locations

4714 S Cicero Ave
Chicago, IL 60638
Phone (773) 767-3600

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538248075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382027",
            "telephone_number": "773-767-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382027",
            "telephone_number": "773-767-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEL PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "773-767-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.