Organization Active NPI

Dominick's Pharmacy

  • Community/Retail Pharmacy
  • Carol Stream, IL
National Provider Identifier
1689790610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DOMINICK'S PHARMACY
Practice address
560 S Schmale Rd
Carol Stream, IL 60188-2419
Phone
(630) 681-1587
Fax
(630) 681-1784
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dorota Janina Jozwiak, PHARMDNPI 1386984706
Title
Staff Pharmacist
Phone
(630) 681-1587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

560 S Schmale Rd
Carol Stream, IL 60188-2419

Mailing address

22W010 Spring Valley Dr
Medinah, IL 60157-9755
Phone (630) 671-1458

National Provider Directory

National Provider Directory

Locations

560 S Schmale Rd
Carol Stream, IL 60188
Phone (630) 681-1587

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689790610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22W010 SPRING VALLEY DR",
            "city": "MEDINAH",
            "state": "IL",
            "postal_code": "601579755",
            "telephone_number": "630-671-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S SCHMALE RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882419",
            "telephone_number": "630-681-1587",
            "fax_number": "630-681-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICK'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOZWIAK",
        "authorized_official_first_name": "DOROTA",
        "authorized_official_middle_name": "JANINA",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "630-681-1587",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • 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.