NPIMap

Organization Active NPI

St Bernard Hospital & Health Care Center

Doing business as Saint Bernard Hospital Outpatient Pharmacy

  • Institutional Pharmacy
  • Chicago, IL
National Provider Identifier
1780695288
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
09311571 Issued in IL
Legal business name
ST BERNARD HOSPITAL & HEALTH CARE CENTER
Doing business as
Saint Bernard Hospital Outpatient Pharmacy
Practice address
326 W 64TH St
Chicago, IL 60621-3114
Phone
(773) 962-6660
Fax
(773) 962-4401
NPI assigned
Aug 10, 2006
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Marie Williams
Title
Manager of Pharmacy
Phone
(773) 962-6660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Institutional Pharmacy 3336I0012X 09311571 IL Primary

Addresses

Primary practice location

326 W 64TH St
Chicago, IL 60621-3114

Mailing address

326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-6660

Other identifiers 1

IdentifierTypeStateIssuer
2022315OtherPK

Other names 1

  • SAINT BERNARD HOSPITAL OUTPATIENT PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Bernard Emerg Physic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1780695288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "773-962-6660",
            "fax_number": "773-962-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "773-962-6660",
            "fax_number": "773-962-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BERNARD HOSPITAL & HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY",
        "authorized_official_telephone_number": "773-962-6660"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "IL",
            "license": "09311571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAINT BERNARD HOSPITAL OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 21, 2017; 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.