Grand Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRAND PHARMACY LLC

Practice address

2158 W Grand Ave
101
Chicago, IL 60612-1571

Phone

(312) 733-8044

Fax

(312) 733-8062

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Aliksandr Beketau

Title

President

Phone

(312) 733-8044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1689019887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 W GRAND AVE",
            "address_2": "101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121571",
            "telephone_number": "312-733-8044",
            "fax_number": "312-733-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 W GRAND AVE",
            "address_2": "101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121571",
            "telephone_number": "312-733-8044",
            "fax_number": "312-733-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "BEKETAU",
        "authorized_official_first_name": "ALIKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-733-8044"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.