NPIMap

Organization Active NPI

Maar Illinois Inc

Doing business as Austin Outpatient Pharmacy

  • Pharmacy
  • Chicago, IL
National Provider Identifier
1710342498
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054-019820 Issued in IL
Legal business name
MAAR ILLINOIS INC
Doing business as
Austin Outpatient Pharmacy
Practice address
645 S Central Ave
Chicago, IL 60644-5059
Phone
(773) 854-2500
Fax
(773) 854-2600
NPI assigned
Dec 22, 2015
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Ronak Manek
Title
Owner/Pharmacist-in-Charge
Phone
(630) 747-7495

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054-019820 IL Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

645 S Central Ave
Chicago, IL 60644-5059

Mailing address

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 854-2500

Other identifiers 1

IdentifierTypeStateIssuer
2155826OtherPK

Other names 1

  • Austin Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austin Outpatient Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1710342498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445059",
            "telephone_number": "773-854-2500",
            "fax_number": "773-854-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445059",
            "telephone_number": "773-854-2500",
            "fax_number": "773-854-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAAR ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "MANEK",
        "authorized_official_first_name": "RONAK",
        "authorized_official_title_or_position": "OWNER/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "630-747-7495"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054-019820",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2016; 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.