NPIMap

Organization Active NPI

Northshore University Healthsystem

  • Pharmacy
  • Highland Park, IL
National Provider Identifier
1750400206
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NORTHSHORE UNIVERSITY HEALTHSYSTEM
Practice address
718 Glenview Ave
Pharmacy Department
Highland Park, IL 60035-2432
Phone
(847) 432-8000
NPI assigned
Mar 28, 2007
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Mr. Douglas D Welday
Title
Cfo
Phone
(847) 570-5099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

718 Glenview Ave
Pharmacy Department
Highland Park, IL 60035-2432

Mailing address

1301 Central St RM 222
Evanston, IL 60201-1613
Phone (847) 570-2000

Other names 1

  • Highland Park Hospital Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750400206. Details of each certification follow.

Hospital certification: CCN 140108

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HIGHLAND PARK HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jan 1, 2000
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 15, 1999
Beds
234
Ownership / control type
Other
Most recent change of ownership
Jan 1, 2000 (1 total)
Facility address
718 Glenview Ave
Highland Park, IL 60035

National Provider Directory

National Provider Directory
Tax ID family
North Shore University Health System9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1750400206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CENTRAL ST RM 222",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011613",
            "telephone_number": "847-570-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 GLENVIEW AVE",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352432",
            "telephone_number": "847-432-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE UNIVERSITY HEALTHSYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "WELDAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-570-5099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Park Hospital Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Highland Park Hospital Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.