Elgin Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054015787 Issued in IL

Legal business name

ELGIN PHARMACY INC

Practice address

417 Dundee Ave
Elgin, IL 60120-3830

Phone

(847) 488-9273

Fax

(847) 488-9278

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arvind Surti, R.PH

Title

Pharmacist in Charge

Phone

(847) 488-9273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1740230879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203830",
            "telephone_number": "847-488-9273",
            "fax_number": "847-488-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203830",
            "telephone_number": "847-488-9273",
            "fax_number": "847-488-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "SURTI",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "847-488-9273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054015787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elgin Pediatric Therapy Inc
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• Elgin Universal Dental

• Community/Retail Pharmacy in Elgin, IL
• Providers in Elgin, 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 Jun 2, 2015; 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.