Cartagena Pharmacy Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

IL05411448 Issued in IL

Legal business name

CARTAGENA PHARMACY INC

Practice address

1505 W Devon Ave
Chicago, IL 60660-1313

Phone

(773) 274-7885

Fax

(773) 274-7906

NPI assigned

Mar 1, 2007

Last updated

Feb 22, 2011By 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

Ronald Kielar

Title

Pharmacist in Charge

Phone

(773) 274-7885

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1902934268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601313",
            "telephone_number": "773-274-7885",
            "fax_number": "773-274-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601313",
            "telephone_number": "773-274-7885",
            "fax_number": "773-274-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTAGENA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "KIELAR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "773-274-7885"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "IL05411448",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1463342",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1463342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Robert Carson, MD
• Marilynn Renee Carson, LCPC
• Matthew Carson
• Megan Carson, P.A.
• Veronica Carson, STA
• Martha Cartagena
• Luis Sebastian Cartagenova, MD
• Justin Cartailler
• Adrianna Carter, MD, MS
• Andrea Carter, BIRTH DOULA CBE

• Clinic Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.