OAK FOREST HEALTH CENTER PHARMACY OF COOK COUNTY (NPI# 1043238298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043238298 |
Entity Type | Organization |
Organization Name | OAK FOREST HEALTH CENTER PHARMACY OF COOK COUNTY |
Other Organization Name | OAK FOREST HEALTH CENTER PHARMACY |
Practice Address |
15900 Cicero Ave Oak Forest IL 60452-4006 |
Practice Telephone | 7086334419 |
Practice Fax Number | 7086334432 |
Mailing Telephone | 7086334419 |
Mailing Fax Number | 7086334432 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2015-10-28 |
Authorized Official Name | JAY SILVER (CHIEF PHARMACY OFFICER) |
Authorized Official Telephone | 7086334365 |
Is Organization Subpart | Y |
Parent Organization Name | COOK COUNTY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
054017270 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2023252 | 01 | |
IL | 355005541070 | 05 |
Other Name | Type Code |
---|---|
OAK FOREST HEALTH CENTER PHARMACY | Doing Business As Name - Organization |
Street Address |
15900 CICERO AVE |
City | OAK FOREST |
State | IL |
Zip Code | 60452-4006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871596817 | Homer Abiad | Internal Medicine | 15900 Cicero Ave, Oak Forest, IL 60452-4006 | 2005-05-23 |
1649551938 | Cook County | Clinic/Center | 15900 Cicero Ave, Oak Forest, IL 60452 | 2011-08-31 |
1417247578 | Susan K Steephen | Pharmacist | 15900 Cicero Ave, Oak Forest, IL 60452 | 2011-04-11 |
1710063714 | Lorraine Bangayan | Internal Medicine | 15900 Cicero Ave, Oak Forest, IL 60452 | 2006-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
Find all providers in zip 60452 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447783915 | Bienestar Pharmacy IIi, Inc | Pharmacy | 2359 S Western Ave, Suite 100, Chicago, IL 60608-3837 | 2017-04-11 |
1851639371 | Health Delivery Management, LLC | Pharmacy | 430 Warrenville Road, Lisle, IL 60532 | 2013-01-17 |
1821239419 | Lehan Drugs Inc | Pharmacy | 1850 Gateway Dr. Suite A, Sycamore, IL 60178 | 2009-03-12 |
1760656987 | Mtm Services | Pharmacy | 1524 S Sangamon St Unit 512, Chicago, IL 60608-2268 | 2008-04-18 |
1023137528 | John H Stroger Jr. Hospital Pharmacy of Cook County | Pharmacy | 1901 W Harrison St Rm Ll170, Chicago, IL 60612-3714 | 2007-03-28 |
1588781298 | Cook County | Pharmacy | 500 E 51st Street, Room 2008 and 2050, Chicago, IL 60615 | 2007-03-26 |
1447390125 | Board of Trustees of The University of Illinois | Pharmacy | 722 W Maxwell St, Room 205 Mc 184, Chicago, IL 60607-5002 | 2007-02-08 |
1982791240 | Weber Medical Clinic Ltd | Pharmacy | 1200 N East Street, Olney, IL 62450-2499 | 2006-10-06 |
1093818148 | Altgeld Garden Drug Co. | Pharmacy | 974 E 133rd St, Chicago, IL 60827-1428 | 2006-09-06 |
1649270125 | American Pharmacy Inc | Pharmacy | 2200 W Roosevelt Rd, Broadview, IL 60155-3888 | 2005-07-27 |
Find all providers with the same taxonomy |
City | OAK FOREST |
Zip Code | 60452 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.