PLAZA PHARMACY (NPI# 1114096179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114096179 |
| Entity Type | Organization |
| Organization Name | PLAZA PHARMACY |
| Other Organization Name | WEST SUBURBAN MEDICAL CENTER |
| Practice Address |
1 Erie Ct Oak Park IL 60302-2566 |
| Practice Telephone | 7087631398 |
| Practice Fax Number | 7083839884 |
| Mailing Telephone | 7087631398 |
| Mailing Fax Number | 7083839884 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS ANN E MONTGOMERY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7087631398 |
| Authorized Official Credential | BS PHARM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| West Suburban Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295832038 | Plaza Pharmacy | Pharmacy | 277 W Main St, Dothan, AL 36301-1627 | 2006-09-20 |
| 1740291384 | Plaza Pharmacy | Durable Medical Equipment & Medical Supplies | 30711 Utica Rd, Roseville, MI 48066-1522 | 2006-08-10 |
| 1821032343 | Plaza Pharmacy | Pharmacist | 2818a Kennedy Blvd, Jersey City, NJ 07306-3902 | 2006-06-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PLAZA PHARMACY INC. | 4399 Nw 124th Ave, Coral Springs, FL 33065 |
| Washington State Corporations | PLAZA PHARMACY INC. | 4399 Nw 124th Ave, Coral Springs, FL 33065 |
| Virginia Business Entities | Plaza Pharmacy LLC | Us Hwy 460, Po Box 843, Grundy, Virginia 24614 |
| New York State Corporations | PLAZA PHARMACY, INC. | 201-16 Hillside Ave, Jamaica, New York 11423 |
| Massachusetts Corporations | PLAZA PHARMACY, INCORPORATED | 246 East St., Ludlow, MA 01056 |
| Street Address |
1 ERIE CT |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861691 | Nagulapalli S Rao | Specialist | 1 Erie Ct, Ste 7160, Oak Park, IL 60302-2510 | 2005-06-16 |
| 1528531837 | Pipeline Midwest Pharmacies, LLC | Pharmacy | 1 Erie Ct, Oak Park, IL 60302-2566 | 2019-01-09 |
| 1326577057 | Joanna Marie Curran | Family Medicine | 1 Erie Ct, Oak Park, IL 60302-2566 | 2017-06-06 |
| 1033660303 | Megan L Mccaleb | Physician Assistant | 1 Erie Ct, Suire 7120, Oak Park, IL 60302-2566 | 2016-10-20 |
| 1760936090 | Genti Manco | Nurse Practitioner | 1 Erie Ct, Oak Park, IL 60302-2566 | 2016-08-03 |
| 1699137869 | Morgan Crandall | Physician Assistant | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2016-03-25 |
| 1760854020 | Forefront Dermatology, S.c. | Dermatology | 1 Erie Ct, Suite 4010, Oak Park, IL 60302 | 2015-10-27 |
| 1154700557 | Haley Combs | Student in an Organized Health Care Education/Training Program | 1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566 | 2015-05-19 |
| 1023497344 | Jacob Shaw | Family Medicine | 1 Erie Ct, Oak Park, IL 60302 | 2015-05-19 |
| 1225428774 | Ashleigh Jardine | Physical Therapist | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2015-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841792512 | Lees Pharmacy LLC | Pharmacy | 21700 Greenfield Rd Ste 345, Oak Park, MI 48237-2538 | 2018-03-08 |
| 1780198176 | Health Delivery Management, LLC | Pharmacy | 610 S. Maple Ave., Suite 1200, Oak Park, IL 60304-1091 | 2017-11-22 |
| 1174079560 | Medsource Family Pharmacy LLC | Pharmacy | 15300 W 9 Mile Rd Ste 2, Oak Park, MI 48237-5200 | 2016-08-26 |
| 1902264484 | Ultimate Care Pharmacy | Pharmacy | 15075 Lincoln St, 110, Oak Park, MI 48237-3335 | 2016-01-29 |
| 1417203399 | Mercury Drugs LLC | Pharmacy | 22150 Coolidge Hwy, Oak Park, MI 48237-2813 | 2012-07-30 |
| 1851674709 | Farm Fresh Pharmacy LLC | Pharmacy | 13151 W 10 Mile Rd Ste 1, Oak Park, MI 48237-4601 | 2011-09-27 |
| 1891899852 | The Wellness Plan | Pharmacy | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-09-12 |
| 1831114495 | Bormans Inc | Pharmacy | 13151 Ten Mile Rd, Oak Park, MI 48237 | 2006-07-13 |
| 1083645071 | Kmart of Michigan Inc | Pharmacy | 26200 Greenfield Rd, Oak Park, MI 48237-1051 | 2006-07-06 |
| 1902846652 | One Vision Pharmacy Services Inc | Pharmacy | 25950 Greenfield Rd, Oak Park, MI 48237-1001 | 2006-06-08 |
| Find all providers in OAK PARK | ||||
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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.