NPIMap

Organization Active NPI

Oak Lawn Pharmacy, Inc.

  • Pharmacy
  • Oak Lawn, IL
National Provider Identifier
1891010724
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054-016816 Issued in IL
Legal business name
OAK LAWN PHARMACY, INC.
Practice address
4700 W 95TH St
Suite 101
Oak Lawn, IL 60453-2533
Phone
(708) 424-0600
Fax
(708) 424-0615
NPI assigned
Apr 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Dema Alzein, PHARM.D.NPI 1205425626
Title
President
Phone
(708) 955-4933

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 054-016816 IL Primary
Community/Retail Pharmacy 3336C0003X 054-016816 IL
Mail Order Pharmacy 3336M0002X 054-016816 IL

Addresses

Primary practice location

4700 W 95TH St
Suite 101
Oak Lawn, IL 60453-2533

Mailing address

4700 W 95TH St
Suite 101
Oak Lawn, IL 60453-2533
Phone (708) 424-0600

Other identifiers 1

IdentifierTypeStateIssuer
054-016816OtherILPHARMACY

National Provider Directory

National Provider Directory

Locations

6700 W 95th St
Ste 150
Oak Lawn, IL 60453
Phone (708) 598-5000

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": "1270252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1891010724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "708-424-0600",
            "fax_number": "708-424-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "708-424-0600",
            "fax_number": "708-424-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-03",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "ALZEIN",
        "authorized_official_first_name": "DEMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-955-4933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054-016816",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-016816",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IL",
            "license": "054-016816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "054-016816",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.