Organization Active NPI

MDS Pharmacy Inc

  • Long Term Care Pharmacy
  • Skokie, IL
National Provider Identifier
1811122427
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054017212 Issued in IL
Legal business name
MDS PHARMACY INC
Doing business as
MDS PHARMACY INC.
Practice address
7348 Lawndale Ave
Skokie, IL 60076-4022
Phone
(847) 972-2616
Fax
(847) 972-2613
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Liyaqat Sayeed
Title
President
Phone
(847) 972-2616

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 054017212 IL Primary

Addresses

Primary practice location

7348 Lawndale Ave
Skokie, IL 60076-4022

Mailing address

7348 Lawndale Ave
Skokie, IL 60076-4022
Phone (847) 972-2616

Other identifiers 1

IdentifierTypeStateIssuer
1483394OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MDS PHARMACY INC. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2253335MDS Pharmacy7348 Lawndale Ave, Skokie, IL 60076Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Locations

7348 Lawndale Ave
Skokie, IL 60076
Phone (847) 972-2616

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1811122427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7348 LAWNDALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764022",
            "telephone_number": "847-972-2616",
            "fax_number": "847-972-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7348 LAWNDALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764022",
            "telephone_number": "847-972-2616",
            "fax_number": "847-972-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "SAYEED",
        "authorized_official_first_name": "LIYAQAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-972-2616"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054017212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1483394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDS PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MDS PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.