Organization Active NPI

Ideal Pharmacy

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1831239458
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
IDEAL PHARMACY
Practice address
2413 S State St
Chicago, IL 60616-2311
Phone
(312) 225-6803
Fax
(312) 225-6527
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Natu J Patel, R.PH
Title
Pharmacist and Owner
Phone
(312) 225-6803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X IL Primary

Addresses

Primary practice location

2413 S State St
Chicago, IL 60616-2311

Mailing address

2413 S State St
Chicago, IL 60616-2311
Phone (312) 225-6803

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1831239458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162311",
            "telephone_number": "312-225-6803",
            "fax_number": "312-225-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162311",
            "telephone_number": "312-225-6803",
            "fax_number": "312-225-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NATU",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "312-225-6803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 2008; 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.