Four Star RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054018207 Issued in IL

Legal business name

FOUR STAR RX INC

Doing business as

Ans Community Pharmacy

Practice address

1835 N Broadway Ave
Suite 101
Melrose Park, IL 60160-2040

Phone

(732) 421-6533

NPI assigned

May 30, 2013

Last updated

May 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dipak Patel, PHARMACISTNPI 1174123194

Title

President

Phone

(732) 421-6533

Specialties & licenses 1

Addresses

Other names 1

• ANS COMMUNITY PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dipak Patel

  • Pharmacist
  • Odessa, TX
  • NPI 1174123194
  Authorized official Same address or phone

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1619314606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 N BROADWAY AVE",
            "address_2": "SUITE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "732-421-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 N BROADWAY AVE",
            "address_2": "SUITE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "732-421-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STAR RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-421-6533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANS COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica L Flynn, CRNA
• Glen Sekou Fondren, LSW
• Michelle Onyinye Forson, M.D
• Kelsey Foster
• Tanya Foster
• Roxanna Franco, MSW
• Judith E Frank, MD
• Fred J. Marchese DDS, LTD
• Ashley Freedman
• Fresenius Medical Care Chicagoland, LLC (Fresenius Medical Care Melrose Park)

• Community/Retail Pharmacy in Melrose Park, IL
• Providers in Melrose Park, 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 30, 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.