Active NPI
Mount Sinai Hospital Medical Center Dba Sinai Community Pharmacy
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1770665317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054.011248
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019775 | Other | PK | |
| 363832319001 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Mount Sinai Hospital Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Chicago, IL
- NPI 1689538738
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
- Mount Sinai Hospital Medical Center
- Mount Sinai Hospital Medical Center
- Mount Sinai Hospital Medical Center
- Mount Sinai Hospital Medical Center
- Mount Sinai Hospital Medical Center
- Mount Sinai Hospital Medical Center of Chicago
- Mount Sinai Hospital Medical Centre
- Mount Sinai Hospital, Chicago
- Mount Sinai Medical Center
- Mount Sinai Medical Center
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.