Active NPI
G.a.Pharmacy
- Pharmacist
- Berwyn, IL
National Provider Identifier
1962452417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054014818
- Legal business name
- G.A.PHARMACY
- Practice address
- 7036 Cermak Rd
Berwyn, IL 60402-2197 - Phone
- (708) 788-3166
- Fax
- (708) 788-3181
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mahendra C Patel, PHARM.D
- Title
- Pharmacist in Charge
- Phone
- (708) 788-3166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 054014818 | IL | Primary |
Addresses
Primary practice location
7036 Cermak Rd
Berwyn, IL 60402-2197
Mailing address
7036 W. Cermak Rd
Berwyn, IL 60402-2197
Phone (708) 788-3166
Other names 1
- CHOICE RX
National Provider Directory
National Provider DirectoryLocations
7036 Cermak Rd
Berwyn, IL 60402
Phone (708) 484-9145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1962452417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7036 W. CERMAK RD",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022197",
"telephone_number": "708-788-3166",
"fax_number": "708-788-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7036 CERMAK RD",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022197",
"telephone_number": "708-788-3166",
"fax_number": "708-788-3181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G.A.PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MAHENDRA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "708-788-3166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IL",
"license": "054014818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHOICE RX",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.