Pdi Medical III LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

051-032295 Issued in IL

Legal business name

PDI MEDICAL III LLC

Practice address

1623 Barclay Boulevard
Buffalo Grove, IL 60089

Phone

(224) 436-1634

NPI assigned

Nov 27, 2017

Organization subpart

Yes

Parent organization

TINAD LLCAs reported in NPPES

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

Authorized official

Name

Joseph Friedman, RPH

Title

Coo

Phone

(224) 377-9734

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1861906067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 BARCLAY BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894544",
            "telephone_number": "224-436-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 BARCLAY BOULEVARD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "224-436-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI MEDICAL III LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TINAD LLC",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "224-377-9734",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "051-032295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Therapy, PLLC
• Antoinette Paul
• Debra Paust, PTA
• Stanislav I Pavlovsky, MD PHD
• Iga Aleksandra Pawlus
• Boris Peck, D.D.S.
• Jane Pedersen, ED.D.
• Pediatric & Adolescent Center, S.C.
• Pediatric Dental Associates PC
• Pediatric Dental Associates,PS

• Specialty Pharmacy in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Specialty Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.