Main Professional Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

54015166 Issued in IL

Legal business name

MAIN PROFESSIONAL PHARMACY

Practice address

2736 W Division St
Chicago, IL 60622-2853

Phone

(773) 276-2372

Fax

(773) 276-2710

NPI assigned

Feb 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ina Shah

Title

President

Phone

(773) 276-2372

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679545503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222853",
            "telephone_number": "773-276-2372",
            "fax_number": "773-276-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222853",
            "telephone_number": "773-276-2372",
            "fax_number": "773-276-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "INA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-276-2372",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "54015166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beattie Maier, DNP
• Brittany Mailey
• Shelby Mailho, PSY.D.
• Lisa M Mailliard
• Laurie C Maimonis
• Gunmeet Maini
• Kunal Maini, MD
• Natalie Mainland
• Dominick M Maino, OD
• Jennifer Mainor, FNP

• 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 Aug 22, 2020; 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.