87TH & Harlem Crescent Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054016428 Issued in IL

Legal business name

87TH & HARLEM CRESCENT PHARMACY INC

Practice address

7261 W 87TH St
Bridgeview, IL 60455-1821

Phone

(708) 598-0505

Fax

(708) 598-0606

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Muhammad Taha

Title

Pic

Phone

(708) 598-0505

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• CRESCENT PHARMACY Doing business as
• Crescent Pharmacy In Bridgeview Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Nader Atieh, PHARMD

  • Pharmacist
  • Bridgeview, IL
  • NPI 1265087811
  NPD
• Bassel Y Joudeh

  • Pharmacist
  • Orland Park, IL
  • NPI 1083760383
  NPD
• Majd Alomari, PHARMD

  • Pharmacy Technician
  • Bridgeview, IL
  • NPI 1467243170
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1578737409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 W 87TH ST",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551821",
            "telephone_number": "708-598-0505",
            "fax_number": "708-598-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 W 87TH ST",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551821",
            "telephone_number": "708-598-0505",
            "fax_number": "708-598-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "87TH & HARLEM CRESCENT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "708-598-0505"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262023011001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1481883",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESCENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRESCENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crescent Pharmacy In Bridgeview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ibrahim Abada
• Duaa Abdullah
• Leen Abdulqader, RD
• Dania Abed, M.S.

• Community/Retail Pharmacy in Bridgeview, IL
• Providers in Bridgeview, 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 Jul 11, 2024; 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.