NPIMap

Organization Active NPI

Midwestern Regional Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Zion, IL
National Provider Identifier
1639298201
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
059003283 Issued in IL
Legal business name
MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY
Doing business as
MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY
Practice address
2520 Elisha Ave
Zion, IL 60099-2676
Phone
(847) 872-6085
Fax
(847) 872-6063
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Gregg Helm
Title
Pharmacy Supervisor
Phone
(847) 872-6390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 059003283 IL Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2520 Elisha Ave
Zion, IL 60099-2676

Mailing address

2520 Elisha Ave
Pharmacy
Zion, IL 60099-2676
Phone (847) 872-6085

Other identifiers 1

IdentifierTypeStateIssuer
2016972OtherPK

Other names 1

  • MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwestern Regional Medical Center Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1639298201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ELISHA AVE",
            "address_2": "PHARMACY",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992676",
            "telephone_number": "847-872-6085",
            "fax_number": "847-872-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ELISHA AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992676",
            "telephone_number": "847-872-6085",
            "fax_number": "847-872-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "HELM",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "847-872-6390"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "059003283",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2016972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.