Physicians Community Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

320009946 Issued in IL

Legal business name

PHYSICIANS COMMUNITY PHARMACY, INC

Practice address

5320 159TH St
Suite 201
Oak Forest, IL 60452-4705

Phone

(708) 798-8112

Fax

(708) 535-6396

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gerald J Mingolelli, MD

Title

President

Phone

(708) 798-8112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1861792129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 159TH ST",
            "address_2": "SUITE 400",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-798-8112",
            "fax_number": "708-535-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST",
            "address_2": "SUITE 201",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-798-8112",
            "fax_number": "708-535-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS COMMUNITY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "MINGOLELLI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-798-8112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "320009946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Ann Petro, L.C.S.W.
• Physicians Community Medical Center
• Physicians Community Medical Center North, S.C.
• Physicians Community Medical Center Oak Forest, S.C.
• Physicians Community Medical Specialists
• Jenna C Podjasek, MD
• Tangenise Sharane Porter, LPC
• Sarah James Posey, PA-C
• Pour Connections
• Lisa Pringle

• Community/Retail Pharmacy in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.