Organization Active NPI

Palcare Inc

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1790041564
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.017903 Issued in IL
Legal business name
PALCARE INC
Doing business as
MEXICARE PHARMACY II
Practice address
1848 S Blue Island Ave
Chicago, IL 60608-3013
Phone
(312) 465-2999
Fax
(312) 291-8079
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Jawad Hamdan
Title
President
Phone
(312) 465-2999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054.017903 IL Primary

Addresses

Primary practice location

1848 S Blue Island Ave
Chicago, IL 60608-3013

Mailing address

1848 S Blue Island Ave
Chicago, IL 60608-3013
Phone (312) 465-2999

Other identifiers 1

IdentifierTypeStateIssuer
2134885OtherPK

Other names 1

  • MEXICARE PHARMACY II Doing business as

National Provider Directory

National Provider Directory

Locations

1848 S Blue Island Ave
Chicago, IL 60608
Phone (312) 465-2999

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1790041564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083013",
            "telephone_number": "312-465-2999",
            "fax_number": "312-291-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083013",
            "telephone_number": "312-465-2999",
            "fax_number": "312-291-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-465-2999"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.017903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEXICARE PHARMACY II",
            "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 Jun 28, 2016; 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.