NPIMap

Organization Active NPI

Health Delivery Management L L C

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1871673079
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54011624 Issued in IL
Legal business name
HEALTH DELIVERY MANAGEMENT L L C
Practice address
1725 W Harrison St
Suite 418
Chicago, IL 60612-3841
Phone
(312) 563-2245
Fax
(312) 942-5503
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Matthew Kemper, PHARMD
Title
Secretary/Director
Phone
(312) 563-2326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 54011624 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 418
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Suite 418
Chicago, IL 60612-3841
Phone (312) 563-2093

Other identifiers 1

IdentifierTypeStateIssuer
1465904OtherILNABP CODE

Other names 1

  • Professional Office Building Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027966 IL DME Supplier - PharmacyDME Supplier - Medical Supply Company 7416946124 Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Health Delivery Managment LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1201 W Harrison St
Ste 100
Chicago, IL 60607

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1871673079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 418",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-2093",
            "fax_number": "312-942-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 418",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-2245",
            "fax_number": "312-942-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DELIVERY MANAGEMENT L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SECRETARY/DIRECTOR",
        "authorized_official_telephone_number": "312-563-2326",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "54011624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP CODE",
            "identifier": "1465904",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Office Building Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Office Building Pharmacy",
            "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 Jul 16, 2024; 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.

Verify at the official NPI Registry.