Organization Active NPI

Mount Sinai Hospital Medical Center Dba Sinai Community Pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1770665317
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.011248 Issued in IL
Legal business name
MOUNT SINAI HOSPITAL MEDICAL CENTER DBA SINAI COMMUNITY PHARMACY
Practice address
2750 W 15TH PL Ste C1120
Chicago, IL 60608-1704
Phone
(773) 257-6900
Fax
(773) 257-4783
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Thomas Yu, PHARM.D.
Title
System Director of Amb Care Pharm
Phone
(773) 257-2486

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054.011248 IL Primary

Addresses

Primary practice location

2750 W 15TH PL Ste C1120
Chicago, IL 60608-1704

Mailing address

2750 W 15TH PL Ste C1120
Chicago, IL 60608-1704
Phone (773) 257-6900

Other identifiers 2

IdentifierTypeStateIssuer
2019775OtherPK
363832319001MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Mount Sinai Hospital Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2750 W 15th Pl
Ste C1120
Chicago, IL 60608
Phone (773) 257-6900

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1770665317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W 15TH PL STE C1120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081704",
            "telephone_number": "773-257-6900",
            "fax_number": "773-257-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W 15TH PL STE C1120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081704",
            "telephone_number": "773-257-6900",
            "fax_number": "773-257-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI HOSPITAL MEDICAL CENTER DBA SINAI COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR OF AMB CARE PHARM",
        "authorized_official_telephone_number": "773-257-2486",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.011248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019775",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363832319001",
            "state": "IL"
        }
    ],
    "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 Aug 3, 2026; 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.