Individual provider Active NPI

Lady Amabelle A Masangcay, PHARMD

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1669656856
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Practice address
3531 N Broadway Ave
Osco Pharmacy
Chicago, IL 60657-1825
Phone
(773) 528-6615
Fax
(773) 404-6916
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IL Primary

Addresses

Primary practice location

3531 N Broadway Ave
Osco Pharmacy
Chicago, IL 60657-1825

Mailing address

3531 N Broadway St
Osco Pharmacy
Chicago, IL 60657-1825
Phone (773) 528-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051290230ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Drug Stores LLC Past Accepting new patients
American Drug Stores LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1669656856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 N BROADWAY ST",
            "address_2": "OSCO PHARMACY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571825",
            "telephone_number": "773-528-6615",
            "fax_number": "773-404-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 N BROADWAY AVE",
            "address_2": "OSCO PHARMACY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571825",
            "telephone_number": "773-528-6615",
            "fax_number": "773-404-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASANGCAY",
        "first_name": "LADY AMABELLE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 2007; 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.