NPIMap

Organization Active NPI

Northwestern Memorial Hospital

Doing business as Northwestern Medicine Specialty Pharmacy

  • Specialty Pharmacy
  • Chicago, IL
National Provider Identifier
1902238645
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
NORTHWESTERN MEMORIAL HOSPITAL
Doing business as
Northwestern Medicine Specialty Pharmacy
Practice address
676 N Saint Clair St Ste 560
Chicago, IL 60611-2982
Phone
(312) 926-9365
NPI assigned
Aug 5, 2013
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWESTERN MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mr. John A Orsini
Title
SVP and Cfo NMHC
Phone
(312) 926-4777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 054-017304 IL
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 560
Chicago, IL 60611-2982

Mailing address

676 N Saint Clair St Ste 560
Chicago, IL 60611-2982
Phone (312) 926-9365

Other names 1

  • Northwestern Medicine Specialty Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131220000401 IL DME Supplier - Pharmacy 0143217067 Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Memorial Hospital20 organizations share this tax ID, including this one
Part of
Northwestern Memorial Hospital

Other organizations with this tax ID 19

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

View all 19

Locations

251 E Huron St
Chicago, IL 60611

251 E Huron St
#12738
Chicago, IL 60611

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1902238645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 560",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112982",
            "telephone_number": "312-926-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 560",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112982",
            "telephone_number": "312-926-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWESTERN MEMORIAL HOSPITAL",
        "enumeration_date": "2013-08-05",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ORSINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SVP AND CFO NMHC",
        "authorized_official_telephone_number": "312-926-4777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054-017304",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwestern Medicine Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwestern Medicine Specialty 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 Jan 31, 2022; 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.