Market Square Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

05416090 Issued in IL

Legal business name

MARKET SQUARE PHARMACY

Practice address

1460 Market St Ste 200
Des Plaines, IL 60016-4645

Phone

(847) 803-2020

Fax

(847) 803-2022

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mitesh D Patel, RPH

Title

President

Phone

(847) 803-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1629281266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 MARKET ST STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164645",
            "telephone_number": "847-803-2020",
            "fax_number": "847-803-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MARKET ST STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164645",
            "telephone_number": "847-803-2020",
            "fax_number": "847-803-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET SQUARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-803-2020",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "05416090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Manjarrez, BSW, MSW, LCSW
• Elizabeth D Manjooran, M.D., MD
• Georgene Ann Manley, LCPC
• Jesus Antonio Manteca-Elias, M.D.
• Marian Healthcare Services, LLC
• Amy Marrotte
• Charles Patrick Marth, ATC/L
• Martin J Pollak MD SC
• Sally Martin-Ranft, P.T.
• Madeline Martin

• Pharmacist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.