NPIMap

Organization Active NPI

Om Jay Gayatri Ma Inc

  • Clinic Pharmacy
  • Chicago, IL
National Provider Identifier
1740392687
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
054014973 Issued in IL
Legal business name
OM JAY GAYATRI MA INC
Practice address
2315 E 93Rd St
Ste 215
Chicago, IL 60617-3936
Phone
(773) 768-7868
Fax
(773) 768-7869
NPI assigned
Aug 31, 2006
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Ghanshyam PatelNPI 1942912555
Title
In Charge Owner
Phone
(773) 768-7868

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X 054014973 IL Primary

Addresses

Primary practice location

2315 E 93Rd St
Ste 215
Chicago, IL 60617-3936

Mailing address

2315 E 93Rd St
Ste 215
Chicago, IL 60617-3936
Phone (773) 768-7868

Other identifiers 1

IdentifierTypeStateIssuer
2021364OtherPK

National Provider Directory

National Provider Directory

Locations

2315 E 93rd St
Ste 215
Chicago, IL 60617
Phone (773) 768-7868

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1740392687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "STE 215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-768-7868",
            "fax_number": "773-768-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "STE 215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-768-7868",
            "fax_number": "773-768-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM JAY GAYATRI MA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GHANSHYAM",
        "authorized_official_title_or_position": "IN CHARGE OWNER",
        "authorized_official_telephone_number": "773-768-7868"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "054014973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 30, 2018; 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.