Great Health Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

054-018001 Issued in IL

Legal business name

GREAT HEALTH PHARMACY INC

Doing business as

Great Health Pharmacy

Practice address

6422 W Belmont Ave Ste 101
Chicago, IL 60634-3921

Phone

(773) 887-4497

Fax

(773) 417-4184

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Jessica Berenice Torres

Title

Owner/President

Phone

(773) 503-1823

Specialties & licenses 1

Addresses

Other names 1

• Great Health Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1649521667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 W BELMONT AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343921",
            "telephone_number": "773-887-4497",
            "fax_number": "773-417-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 W BELMONT AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343921",
            "telephone_number": "773-887-4497",
            "fax_number": "773-417-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HEALTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "BERENICE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "773-503-1823"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054-018001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.