Burbank Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BURBANK PHARMACY LLC

Practice address

4817 W 83Rd St Ste 2
Burbank, IL 60459-2791

Phone

(312) 804-9469

NPI assigned

Sep 5, 2018

Last updated

Sep 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary HaddadinNPI 1063796159

Title

Owner

Phone

(312) 804-9469

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Haddadin

  • Pharmacist
  • Hickory Hills, IL
  • NPI 1063796159
  NPD Authorized official

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1902388010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD STE 1",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877722",
            "telephone_number": "312-804-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 W 83RD ST STE 2",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592791",
            "telephone_number": "312-804-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "HADDADIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-804-9469",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Vitalia Buonicore, APRN-FPA
• Burbank Clinics Inc
• Burbank Dental
• Burbank Medical Center SC
• Burbank Medical Group Inc
• Burbank Rehabilitation Center, LLC
• Rebecca Marie Burke
• Kimberly Caceres
• Isabel A Calderon
• Hugo Camacho, AT

• Community/Retail Pharmacy in Burbank, IL
• Providers in Burbank, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.