Pill Shop Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.018224 Issued in IL

Legal business name

PILL SHOP PHARMACY INC

Doing business as

Pill Shop Pharmacy

Practice address

3535 E New York St Ste 117
Aurora, IL 60504-4466

Phone

(630) 618-2048

Fax

(630) 618-2394

NPI assigned

Mar 18, 2013

Organization subpart

No

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

Authorized official

Name

Antoine Mourani

Title

Director

Phone

(312) 659-3588

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Pill Shop Pharmacy Doing business as

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1588906507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E NEW YORK ST STE 117",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044466",
            "telephone_number": "630-618-2048",
            "fax_number": "630-618-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E NEW YORK ST STE 117",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044466",
            "telephone_number": "630-618-2048",
            "fax_number": "630-618-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILL SHOP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "MOURANI",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-659-3588"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.018224",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139415",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487873001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pill Shop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Dawn Pieart, ATC
• Bradley James Piekielko, D.O.
• Noreen Ann Pierandozzi, FNP
• Erica Pierre
• Oleaha Pilant, RN, MSN, APN, FNP-C
• John Bennette Rosel Pineda
• John T Pinnello, MD
• Pinpoint Physical Therapy, PLLC
• Nick F Pisto, D.D.S.
• Brad Pitstick

• Community/Retail Pharmacy in Aurora, IL
• Providers in Aurora, 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 18, 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.