Active NPI
Craigs Family Pharmacy Inc
- Community/Retail Pharmacy
- Glen Ellyn, IL
National Provider Identifier
1891869434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CRAIGS FAMILY PHARMACY INC
- Practice address
- 401 N Main St
Glen Ellyn, IL 60137 - Phone
- (630) 469-1414
- Fax
- (630) 469-5214
- NPI assigned
- Nov 17, 2006
- 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
- Craig Adler Mandel, RPH
- Title
- President
- Phone
- (630) 469-1414
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | IL | Primary |
Addresses
Primary practice location
401 N Main St
Glen Ellyn, IL 60137
Mailing address
401 N Main St
Glen Ellyn, IL 60137
Phone (630) 469-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36364114001 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
401 N Main St
Glen Ellyn, IL 60137
Phone (630) 469-1414
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Glen Ellyn, IL
- NPI 1730224486
-
- Pharmacist
- Glen Ellyn, IL
- NPI 1497880132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891869434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N MAIN ST",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-469-1414",
"fax_number": "630-469-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N MAIN ST",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-469-1414",
"fax_number": "630-469-5214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIGS FAMILY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANDEL",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "ADLER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-469-1414",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36364114001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.