Organization Active NPI

Sure Care Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1861789927
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054017702 Issued in IL
Legal business name
SURE CARE PHARMACY INCORPORATED
Practice address
2001 S California Ave Ste 103
Chicago, IL 60608-2486
Phone
(773) 475-7711
Fax
(773) 475-7183
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Rachit ShahNPI 1629622840
Title
Pharmacist Incharge
Phone
(732) 910-2949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054017702 IL Primary

Addresses

Primary practice location

2001 S California Ave Ste 103
Chicago, IL 60608-2486

Mailing address

2001 S California Ave Ste 103
Chicago, IL 60608-2486
Phone (773) 475-7711

Other identifiers 1

IdentifierTypeStateIssuer
2131155OtherPK

Other names 1

  • Surecare pharmacy inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2001 S California Ave
Ste 103
Chicago, IL 60608
Phone (773) 475-7711

2001 S California Ave
#103
Chicago, IL 60608
Phone (773) 475-7711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1861789927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-475-7711",
            "fax_number": "773-475-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-475-7711",
            "fax_number": "773-475-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE CARE PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RACHIT",
        "authorized_official_title_or_position": "PHARMACIST INCHARGE",
        "authorized_official_telephone_number": "732-910-2949"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054017702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131155",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surecare pharmacy inc.",
            "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 Apr 30, 2020; 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.