Bienestar Pharmacy II Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BIENESTAR PHARMACY II INC

Practice address

6447 Cermak Rd
Berwyn, IL 60402-2311

Phone

(708) 956-7786

NPI assigned

Feb 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Akil Ghoghawala

Title

Manager

Phone

(708) 956-7786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1972928166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022311",
            "telephone_number": "708-956-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022311",
            "telephone_number": "708-956-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR PHARMACY II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "GHOGHAWALA",
        "authorized_official_first_name": "AKIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-956-7786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ransford Bio
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• Julie Ryan Blankemeier, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.