Active NPI
MDS Pharmacy Inc
- Long Term Care Pharmacy
- Skokie, IL
National Provider Identifier
1811122427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 054017212
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1483394 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- MDS PHARMACY INC.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2253335 | MDS Pharmacy | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.