Active NPI
Saint Mary of Nazareth Hospital - Chicago LLC
Doing business as Prime Healthcare Rx 1001
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1871387043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SAINT MARY OF NAZARETH HOSPITAL - CHICAGO LLC
- Doing business as
- Prime Healthcare Rx 1001
- Practice address
- 2233 W Division St
Chicago, IL 60622-8151 - Phone
- (312) 770-3444
- NPI assigned
- Apr 4, 2025
- Last updated
- Apr 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Doan
- Title
- Managing Associate General Counsel
- Phone
- (310) 259-4706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
2233 W Division St
Chicago, IL 60622-8151
Mailing address
2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-3444
Other names 1
- Prime Healthcare Rx 1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250627000424 | IL | Part B Supplier - Pharmacy | 6103348479 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Prime Healthcare Rx 1001
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1841305877
O20250627000424
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1871387043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228151",
"telephone_number": "312-770-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228151",
"telephone_number": "312-770-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT MARY OF NAZARETH HOSPITAL - CHICAGO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-04",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "DOAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "MANAGING ASSOCIATE GENERAL COUNSEL",
"authorized_official_telephone_number": "310-259-4706"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Healthcare Rx 1001",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Saint Mary and Elizabeth Hospital
- Saint Mary of Nazareth Hospital - Chicago LLC
- Saint Mary of Nazareth Hospital - Chicago LLC (Saint Mary of Nazareth Hospital)
- Saint Mary of Nazareth Hospital - Chicago LLC (Saint Mary of Nazareth Hospital)
- Saint Mary of Nazareth Hospital - Chicago LLC (Prime Healthcare Rx 1001)
- Saint Mary of Nazareth Hospital - Chicago LLC (Saint Mary of Nazareth Hospital)
- Saint Mary of Nazareth Hospital Pharmacy
- Saint Mary of Nazareth Pho
- Saint Mary Saint Elizabeth Medical Center
- Saint Mary's Outpatient Behavioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.