NPIMap

Organization Active NPI

James a Lovell FHCC

  • Military/U.S. Coast Guard Pharmacy
  • Great Lakes, IL
National Provider Identifier
1548367394
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
JAMES A LOVELL FHCC
Practice address
3420 Illinois St
Ah14 Medical Clinic
Great Lakes, IL 60088-3161
Phone
(847) 688-7406
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Primary

Addresses

Primary practice location

3420 Illinois St
Ah14 Medical Clinic
Great Lakes, IL 60088-3161

Mailing address

James a Lovell FHCC
PO Box 322
Great Lakes, IL 60064
Phone (224) 610-4232

Other identifiers 1

IdentifierTypeStateIssuer
2025021OtherPK

Other names 1

  • USS TRANQ MAIN PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James a Lovell FHCC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

3420 Illinois St
#14
Great Lakes, IL 60088
Phone (847) 688-7406

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1548367394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JAMES A LOVELL FHCC",
            "address_2": "PO BOX 322",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "224-610-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 ILLINOIS ST",
            "address_2": "AH14 MEDICAL CLINIC",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600883161",
            "telephone_number": "847-688-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A LOVELL FHCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2025021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USS TRANQ MAIN PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Lakes, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.