NPIMap

Organization Active NPI

Advocate Health and Hospitals Corporation

  • Community/Retail Pharmacy
  • Downers Grove, IL
National Provider Identifier
1619911468
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
058007247 Issued in IL
Legal business name
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Practice address
3825 Highland Ave
Suite 5F
Downers Grove, IL 60515-1552
Phone
(630) 275-1283
Fax
(630) 275-5868
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Karen Chiganos, BS PHARMACY
Title
Pharmacist
Phone
(630) 275-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 058007247 IL Primary

Addresses

Primary practice location

3825 Highland Ave
Suite 5F
Downers Grove, IL 60515-1552

Mailing address

3825 Highland Ave
Suite 5F
Downers Grove, IL 60515-1552
Phone (630) 971-5878

Other identifiers 2

IdentifierTypeStateIssuer
362169E11MedicaidIL
1444354OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GOOD SAMARITAN HOSP AMBLTRY PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adovate Health Hosp Corp85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3825 Highland Ave
Ste 5F
Downers Grove, IL 60515
Phone (630) 275-1283

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1619911468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 5F",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-971-5878",
            "fax_number": "630-275-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 5F",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-275-1283",
            "fax_number": "630-275-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE HEALTH AND HOSPITALS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "CHIGANOS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "630-275-1283",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "058007247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362169E11",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1444354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD SAMARITAN HOSP AMBLTRY PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.