Balsam Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.020662 Issued in IL

Legal business name

BALSAM PHARMACY

Practice address

1167 E Algonquin Rd Ste 2
Des Plaines, IL 60016-6325

Phone

(847) 257-7448

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Yousef Arman

Title

Manager

Phone

(847) 257-7448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1740767409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 E ALGONQUIN RD STE 2",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166325",
            "telephone_number": "847-257-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 E ALGONQUIN RD STE 2",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166325",
            "telephone_number": "847-257-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALSAM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "ARMAN",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-257-7448"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.020662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Des Plaines, IL
• Providers in Des Plaines, 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 Jul 25, 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.