North Star Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054009801 Issued in IL

Legal business name

NORTH STAR PHARMACY INC

Practice address

2123 E 71St St
Chicago, IL 60649-2103

Phone

(773) 493-7733

Fax

(773) 493-7734

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Nalin Shah, BS IN PHARMACY

Title

President

Phone

(773) 493-7733

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ROSENBLUM DRUG Doing business as

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1902972003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492103",
            "telephone_number": "773-493-7733",
            "fax_number": "773-493-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492103",
            "telephone_number": "773-493-7733",
            "fax_number": "773-493-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NALIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-493-7733",
        "authorized_official_credential": "BS IN PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054009801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSENBLUM DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Chicago, IL
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.