Active NPI
Palcare Inc
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1790041564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054.017903
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134885 | Other | PK |
Other names 1
- MEXICARE PHARMACY II
National Provider Directory
National Provider DirectoryLocations
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.