Organization Active NPI

Pharmascript Inc

  • Home Infusion Therapy Pharmacy
  • Chicago, IL
National Provider Identifier
1619332053
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
054.019406 Issued in IL
Legal business name
PHARMASCRIPT INC
Doing business as
PharmaScript Inc.
Practice address
5437 N Broadway St
Chicago, IL 60640
Phone
(773) 681-0965
Fax
(773) 961-8907
NPI assigned
Dec 30, 2015
Last updated
Dec 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER POINT HOME HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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

Authorized official

Name
Michael Green, PHARMD
Title
Director of Pharmacy Operations
Phone
(773) 681-0965

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 054.019406 IL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X 054.019406 IL
Home Infusion Therapy Pharmacy 3336H0001X 054.019406 IL Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

5437 N Broadway St
Chicago, IL 60640

Mailing address

5437 N Broadway St
Chicago, IL 60640-1703
Phone (773) 681-0965

Other identifiers 7

IdentifierTypeStateIssuer
1619332053MedicaidMN
2157251OtherPK
7L9406MedicaidSC
8109044208001MedicaidIL
17624002MedicaidNM
300009646MedicaidIN
100069273MedicaidWI

Other names 1

  • PharmaScript Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160219001495 IL Part B Supplier - Pharmacy 7911202569 Practice locations: Chicago, IL
O20161007000408 IL DME Supplier - Pharmacy 7911202569 Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pharmascript, Inc.5437 N. Broadway Ave., Chicago, IL 60640-1703(844) 635-3221 Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Mar 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Pharmascript Inc2 organizations share this tax ID, including this one
Part of
Premier Point Home Health Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5437 N Broadway St
Chicago, IL 60640
Phone (844) 635-3221

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608422400000",
    "number": "1619332053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401703",
            "telephone_number": "773-681-0965",
            "fax_number": "773-961-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-681-0965",
            "fax_number": "773-961-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMASCRIPT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER POINT HOME HEALTH, INC.",
        "enumeration_date": "2015-12-30",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "773-681-0965",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "054.019406",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054.019406",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IL",
            "license": "054.019406",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619332053",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7L9406",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8109044208001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17624002",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300009646",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069273",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmaScript Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharmaScript Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.