Organization Active NPI

Gammariello RX Inc

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1982613360
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05414082 Issued in IL
Legal business name
GAMMARIELLO RX INC
Practice address
1521 E 53Rd St
Chicago, IL 60615-4509
Phone
(773) 288-8700
Fax
(773) 288-7963
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mr. Joseph Gammariello, RPHNPI 1407865850
Title
President
Phone
(773) 288-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05414082 IL Primary

Addresses

Primary practice location

1521 E 53Rd St
Chicago, IL 60615-4509

Mailing address

1521 E 53Rd St
Chicago, IL 60615-4509
Phone (773) 288-8700

Other names 1

  • katsaros pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100605000109 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3779613542 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1982613360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154509",
            "telephone_number": "773-288-8700",
            "fax_number": "773-288-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154509",
            "telephone_number": "773-288-8700",
            "fax_number": "773-288-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMARIELLO RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "GAMMARIELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-288-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "05414082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "katsaros pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.