Active NPI
Pharmascript Inc
- Home Infusion Therapy Pharmacy
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 054.019406
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- PREMIER POINT HOME HEALTH, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619332053 | Medicaid | MN | |
| 2157251 | Other | PK | |
| 7L9406 | Medicaid | SC | |
| 8109044208001 | Medicaid | IL | |
| 17624002 | Medicaid | NM | |
| 300009646 | Medicaid | IN | |
| 100069273 | Medicaid | WI |
Other names 1
- PharmaScript Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmascript, Inc. | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Pharmascript Inc
- 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.
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1124638077
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.
-
- Home Health Agency
- Chicago, IL
- NPI 1609046242
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.