NPIMap

Organization Active NPI

Pilsen Pharmacy

  • Pharmacy
  • Chicago, IL
National Provider Identifier
1598103194
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054018154 Issued in IL
Legal business name
PILSEN PHARMACY
Practice address
1868 S Blue Island Ave
Chicago, IL 60608-3013
Phone
(312) 993-9500
Fax
(312) 993-9501
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Robert Zavala, PHARMD
Title
Owner/Pharmacist
Phone
(773) 531-2058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054018154 IL Primary

Addresses

Primary practice location

1868 S Blue Island Ave
Chicago, IL 60608-3013

Mailing address

1868 S Blue Island Ave
Chicago, IL 60608-3013
Phone (312) 993-9500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1598103194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083013",
            "telephone_number": "312-993-9500",
            "fax_number": "312-993-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083013",
            "telephone_number": "312-993-9500",
            "fax_number": "312-993-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILSEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "773-531-2058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054018154",
            "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 Jun 5, 2013; 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.