North Suburban Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.016472 Issued in IL

Legal business name

NORTH SUBURBAN PHARMACY INC

Practice address

4954 Oakton St
Skokie, IL 60077-2905

Phone

(847) 674-0707

Fax

(847) 674-0808

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Jenny Paylian

Title

Owner

Phone

(847) 674-0707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTH SUBURBAN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1609035674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772905",
            "telephone_number": "847-674-0707",
            "fax_number": "847-674-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772905",
            "telephone_number": "847-674-0707",
            "fax_number": "847-674-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "PAYLIAN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-674-0707"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.016472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH SUBURBAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH SUBURBAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Skokie, IL
• Providers in Skokie, 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 Mar 31, 2021; 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.