JAMES A LOVELL FHCC


Address: 2630 Green Bay Rd Bldg 3452, North Chicago, IL 60088-3303
Phone: 8476882772

JAMES A LOVELL FHCC (NPI# 1043625981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043625981
Entity Type Organization
Organization Name JAMES A LOVELL FHCC
Other Organization Name DOD GREAT LAKES BURKEY MALL EPHCY
Practice Address 2630 Green Bay Rd Bldg 3452
North Chicago
IL 60088-3303
Mailing Address Po Box 322
James A Lovell Fhcc
North Chicago
IL 60064
Practice Telephone 8476882772
Practice Fax Number 8476882805
Mailing Telephone 2246104232
Enumeration Date 2014-06-30
Last Update Date 2015-11-24
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2146521 01

Other Provider/Organization Names

Other Name Type Code
DoD GREAT LAKES BURKEY MALL ePhcy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508965120 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 2470 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2006-09-21
1336248962 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3452 Greenbay Rd Bldg 3452, Great Lakes, IL 60088 2006-09-21
1801858741 James A Lovell Fhcc Clinic/Center 2470 Sampson Street, Bldg 237, Great Lakes, IL 60088 2006-04-05
1447665690 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 2470 Sampson St Bldg 237, North Chicago, IL 60088-2942 2014-06-26
1407955032 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3420 Illinois St, Uss Tranquilityah14 Med Cln 1017, Great Lakes, IL 60088-3161 2006-09-21
1639276488 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3001a Sixth Street, Great Lakes, IL 60088-5230 2006-09-20
1548367394 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3420 Illinois St, Ah14 Medical Clinic, Great Lakes, IL 60088-3161 2006-09-20

Office Location

Street Address 2630 GREEN BAY RD BLDG 3452
City NORTH CHICAGO
State IL
Zip Code 60088-3303

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043858228 Kathryn Ann Bird Dentist 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 2019-12-18
1740775576 Jonathan William Criter Dentist 3400 Ohio St, Great Lakes, IL 60088 2018-06-25
1134598733 True Xiong Dentist Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 2015-09-24
1447685771 Lisa Carol Perrone Dentist Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 2013-09-05
1437438421 David Lawrence Green Dentist 2410 Samson St., Bldg 237, Great Lakes, IL 60088 2011-08-09
1164730602 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois Street, Great Lakes, IL 60088 2010-09-17
1598073439 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 2010-09-14
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29
1083943906 James Doll Dentist 2608 Paul Jones St, Great Lakes, IL 60088 2009-12-24
1396996823 Kelly Robert Lanning Dentist 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 2008-10-02
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Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447665690 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 2470 Sampson St Bldg 237, North Chicago, IL 60088-2942 2014-06-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942783246 Blanchfield Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 2018-09-12
1912313222 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 110 Rodman Ave., Rock Island Arsenal, IL 61299-7240 2014-07-08
1164730602 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois Street, Great Lakes, IL 60088 2010-09-17
1598073439 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 2010-09-14
1831406719 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 3440 Ohio St, Bldg 1017, Great Lakes, IL 60088-3155 2010-09-13
1790092674 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2630 Green Bay Rd, Bldg 3452, Great Lakes, IL 60088-3303 2010-09-13
1841405388 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy 110 Rodman Ave, Rock Island, IL 61299-0001 2007-05-10
1508965120 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 2470 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2006-09-21
1336248962 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3452 Greenbay Rd Bldg 3452, Great Lakes, IL 60088 2006-09-21
1720185572 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy Pharm Bldg 110, Usa Health Clinic, Rock Island, IL 61299-0001 2006-09-20
Find all providers with the same taxonomy

Competitor

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City NORTH CHICAGO
Zip Code 60088

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Dataset Information

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.

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