GENESIS PHARMACY (NPI# 1174675599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174675599 |
| Entity Type | Organization |
| Organization Name | GENESIS PHARMACY |
| Practice Address |
1 N Broadway St Des Plaines IL 60016-2335 |
| Practice Telephone | 8478277556 |
| Practice Fax Number | 8478278263 |
| Mailing Telephone | 8478277556 |
| Mailing Fax Number | 8478278263 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | HOWARD BLEICHMAN (OWNER) |
| Authorized Official Telephone | 7736222331 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828345 | Genesis Pharmacy | Pharmacy | 6558 Fresh Meadow Ln, Fresh Meadows, NY 11365-2012 | 2018-10-29 |
| 1134133069 | Genesis Pharmacy | Health Maintenance Organization | Carretera #3 Km 123.0, Patillas, PR 00723 | 2006-07-28 |
| 1750315719 | Genesis Pharmacy | Pharmacy | 10504 E. Artesia Blvd., Bellflower, CA 90706-6804 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Genesis Pharmacy & Medical Supplies LLC | 9878 W Belleview Ave Ste 2480, Denver, CO 80123 |
| System for Award Management (SAM) Entities | GENESIS PHARMACY INC | 6558 Fresh Meadow Ln, Fresh Meadows, NY 11365-2012 |
| New York State Corporations | GENESIS PHARMACY INC | 65-58 Fresh Meadow Lane, Fresh Meadow, Ny 11365 |
| Street Address |
1 N BROADWAY ST |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477656684 | Nigam Patel | Family Medicine | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2006-09-06 |
| 1063063584 | Cynthia Gudino | Physician Assistant | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2019-09-25 |
| 1891157632 | Khin Khin Bremer | Pediatrics | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2016-03-22 |
| 1437557741 | Luiza Kofler | Nurse Practitioner | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2014-12-18 |
| 1194008318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2011-09-23 |
| 1356579023 | Diana Climaco Smith | Family Medicine | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2009-07-01 |
| 1538325113 | Davida Naomi Gerena | Pediatrics | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2008-08-01 |
| 1154520096 | Gabriela B Novota | Pediatrics | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2007-07-12 |
| 1669541868 | Sandra Anderson | Pediatrics | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2006-11-06 |
| 1982783692 | Access Community Health Network | Clinic/Center | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
| Find all providers in zip 60016 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1740767409 | Balsam Pharmacy | Pharmacy | 1167 E Algonquin Rd Ste 2, Des Plaines, IL 60016-6325 | 2018-07-25 |
| 1497292692 | Roundys Supermarkets Inc | Pharmacy | 10 E Golf Rd, Des Plaines, IL 60016-2228 | 2017-01-25 |
| 1417345349 | Direct Rx Pharmaceuticals, Inc | Pharmacy | 1460 Market St, Suite 316, Des Plaines, IL 60016-4643 | 2014-12-30 |
| 1326379520 | Easy Scripts Inc. | Pharmacy | 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | DES PLAINES |
| Zip Code | 60016 |
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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.