Organization Active NPI

Orland Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Homer Glen, IL
National Provider Identifier
1700550860
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ORLAND PHARMACY, INC.
Practice address
14322 S Will Cook Rd
Homer Glen, IL 60491-9211
Phone
(708) 785-0626
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Colin ColleryNPI 1467125112
Title
Owner
Phone
(708) 945-9058

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 Primary

Addresses

Primary practice location

14322 S Will Cook Rd
Homer Glen, IL 60491-9211

Mailing address

14322 S Will Cook Rd
Homer Glen, IL 60491-9211

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL orlandparkrx@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220901001868 IL Part B Supplier - Pharmacy 0941684450 Practice locations: Homer Glen, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2256078Orland Pharmacy Inc14322 S Will Cook Rd, Homer Glen, IL 60491Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory

Locations

14322 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 726-5700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1700550860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14322 S WILL COOK RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14322 S WILL COOK RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919211",
            "telephone_number": "708-785-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "COLLERY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-945-9058"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "orlandparkrx@gmail.com",
            "affiliation": "N",
            "endpointDescription": "owner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14322 S Will Cook Rd",
            "city": "Homer Glen",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604919211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.