Medication Management Partners

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

054016830 Issued in IL

Legal business name

MEDICATION MANAGEMENT PARTNERS

Doing business as

Medication Management Partners, LLC

Practice address

13601 Kenton Ave
Crestwood, IL 60418-1938

Phone

(708) 752-8000

Fax

(708) 752-8011

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Labinot Avdiu, PHARM DNPI 1558466490

Title

Ceo/Pharmacist

Phone

(708) 752-8000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medication Management Partners, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 6

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

• Labinot Avdiu, PHARM.D.

  • Pharmacist
  • Chicago, IL
  • NPI 1558466490
  NPD Authorized official
• Louis Hoelle

  • Pharmacist
  • Crestwood, IL
  • NPI 1194316398
  NPD
• Patrice Lanae Johnson, RPH, PMP

  • Pharmacist
  • Crestwood, IL
  • NPI 1497340236
  NPD
• Tracy J Larsen, REGISTERED PHARMACIS

  • Pharmacist
  • Crestwood, IL
  • NPI 1598386716
  NPD
• Steven Robert Windberg, PHARMD

  • Pharmacist
  • Crestwood, IL
  • NPI 1972105906
  NPD
• Mahmoud S Zegar, PHARM.D.

  • Pharmacist
  • Crestwood, IL
  • NPI 1053510594
  NPD

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1740512094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 KENTON AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181938",
            "telephone_number": "708-752-8000",
            "fax_number": "708-752-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 KENTON AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181938",
            "telephone_number": "708-752-8000",
            "fax_number": "708-752-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATION MANAGEMENT PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "AVDIU",
        "authorized_official_first_name": "LABINOT",
        "authorized_official_title_or_position": "CEO/PHARMACIST",
        "authorized_official_telephone_number": "708-752-8000",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054016830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medication Management Partners, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medication Management Partners, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malgorzata Margosiak
• Mark McCarthy
• Amy Jean McGinnis, M.ED.
• Patricia McGoldrick
• Ashley Lauren McGowan, SLP
• Richard Melton, LCSW
• Brian Mendoza, D.C.
• Mimoza Metarapi, PHARMD, BCPS, BCGP
• Metro Primary Care Associates LLC
• Michael a. Luckett D.M.D. & Associates (Rivercrest), LTD. (DentalWorks)

• Long Term Care Pharmacy in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.