Millenium Pharmacy LTD

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MILLENIUM PHARMACY LTD

Doing business as

Millennium Pharmacy

Practice address

10604 Southwest Hwy Ste 102
Chicago Ridge, IL 60415-2704

Phone

(708) 930-5393

Fax

(708) 529-3593

NPI assigned

Sep 15, 2020

Last updated

Sep 15, 2020By 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

Ahmed Mahafzah, PHARM.D.

Title

Pharmacist in Charge

Phone

(708) 930-5393

Specialties & licenses 1

Addresses

Other names 1

• Millennium Pharmacy Doing business as

Tax ID family

Millenium Pharmacy LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Millenium Pharmacy LTD

  dba Millennium Pharmacy

  • Community/Retail Pharmacy
  • Chicago Ridge, IL
  • NPI 1689163503
  NPD tax ID

Locations

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1912512989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY STE 102",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152704",
            "telephone_number": "708-930-5393",
            "fax_number": "708-529-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY STE 102",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152704",
            "telephone_number": "708-930-5393",
            "fax_number": "708-529-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "MAHAFZAH",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "708-930-5393",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Millenium Pharmacy LTD (Millennium Pharmacy)
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• Hany Youssef Mohamed, D.D.S.
• Wasim Mohammad
• Magdalena Moskalik

• Long Term Care Pharmacy in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.