St Jude Pharmacy, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ST JUDE PHARMACY, INC.

Practice address

301 Madison St Ste 114
Joliet, IL 60435-6549

Phone

(815) 900-9000

Fax

(815) 900-5500

NPI assigned

Feb 15, 2025

Organization subpart

No

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

Authorized official

Name

Mohammed J Alahmed

Title

Ceo

Phone

(815) 900-9000

Specialties & licenses 1

Addresses

Other names 1

• ST JUDE PHARMACY LTC Doing business as

Tax ID family

St Jude Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Jude Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Joliet, IL
  • NPI 1790240489
  NPD tax ID

Locations

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1861297749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MADISON ST STE 114",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356549",
            "telephone_number": "815-900-9000",
            "fax_number": "815-900-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON ST STE 114",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356549",
            "telephone_number": "815-900-9000",
            "fax_number": "815-900-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A",
        "authorized_official_last_name": "ALAHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-900-9000"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JUDE PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spring Creek Nursing & Rehab Center LLC
• Spring Creek SNF LLC
• Springfield OB/GYN Group LTD
• Elizabeth J Sreniawski, MSOT, OTR/L
• St Jude Pharmacy, Inc.
• St Marys Hospital - Kankakee LLC
• Karen Ann Stachowicz, M.A., CCC-A
• Timothy Stacy, DNP
• Jennifer J Stammich, OD
• Jan Stampley, MD

• Long Term Care Pharmacy in Joliet, IL
• Providers in Joliet, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.