Professional Pharmacy Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

054016132 Issued in IL

Legal business name

PROFESSIONAL PHARMACY INC

Practice address

30 E 15TH St
Ste 204
Chicago Heights, IL 60411-3459

Phone

(708) 754-6878

Fax

(708) 248-6170

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Amit Dhingra, PHRMDNPI 1871885731

Title

Pic

Phone

(708) 754-6878

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PROFESSIONAL PHARMACY Doing business as

Locations

Practitioners 1

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

• Amit Dhingra, PHARM.D.

  • Pharmacist
  • Chicago Heights, IL
  • NPI 1871885731
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1720107394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 15TH ST",
            "address_2": "STE 204",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "708-754-6878",
            "fax_number": "708-248-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 15TH ST",
            "address_2": "STE 204",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "708-754-6878",
            "fax_number": "708-248-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "DHINGRA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "708-754-6878",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "054016132",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1420811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mike Polimenakos, PHARMD
• Nakita Pork, OTR/L
• Lisa Porter
• Prairie Manor Nursing & Rehabilitation Center LLC
• Prodigy Medical & Hospital Supplies, Inc.
• Jennifer Purnell
• Anna Maria Radziewska
• Fatma Elzhra Hossini Ramadan, M.D.
• Marilyn Ray
• Dominique Reeves, MD

• All providers in Chicago Heights, IL
• Clinic Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.