Organization Active NPI

Good Health Pharmacy

  • Community/Retail Pharmacy
  • Naperville, IL
National Provider Identifier
1922485077
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018782 Issued in IL
Legal business name
GOOD HEALTH PHARMACY
Practice address
1999 Springbrook Square Dr Unit 105
Naperville, IL 60564-5946
Phone
(630) 210-8995
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Oluyemisi Ijose
Title
Pharmacy Manager
Phone
(724) 799-6098

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054018782 IL Primary

Addresses

Primary practice location

1999 Springbrook Square Dr Unit 105
Naperville, IL 60564-5946

Mailing address

3919 Callander CT
Naperville, IL 60564-8306
Phone (724) 799-6098

Other identifiers 1

IdentifierTypeStateIssuer
2151608OtherPK

Other names 1

  • Good Health Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1999 Springbrook Square Dr
Ste 105
Naperville, IL 60564
Phone (630) 210-8995

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1922485077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 CALLANDER CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648306",
            "telephone_number": "724-799-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SPRINGBROOK SQUARE DR UNIT 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645946",
            "telephone_number": "630-210-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "IJOSE",
        "authorized_official_first_name": "OLUYEMISI",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "724-799-6098"
    },
    "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": "054018782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.