SOUTH TOWN PHARMACY INC (NPI# 1306954433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306954433 |
| Entity Type | Organization |
| Organization Name | SOUTH TOWN PHARMACY INC |
| Practice Address |
11000 S Halsted St Chicago IL 60628-3909 |
| Mailing Address |
11000 S. Halsted Chicago IL 60628-3909 |
| Practice Telephone | 7735688340 |
| Mailing Telephone | 7735688340 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | YUANCHO CHOU (PRESIDENT) |
| Authorized Official Telephone | 7735688340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers | |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NABP/NCPDP | 1431523 | 01 |
| Street Address |
11000 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225018203 | Olusoji Anthony Peter | Internal Medicine | 11000 S Halsted St, Chicago, IL 60628-3909 | 2006-01-18 |
| 1669079018 | Ismail Adebayo Oyebode | Nurse Practitioner | 11000 S Halsted St, Chicago, IL 60628-3909 | 2020-10-07 |
| 1104354257 | Sherree Mccool | Registered Nurse | 11000 S Halsted St, Chicago, IL 60628-3909 | 2017-06-01 |
| 1043679681 | Leshaun Williams | Nurse Practitioner | 11000 S Halsted St, Chicago, IL 60628-3909 | 2016-02-10 |
| 1134508997 | New Southtown Medical Group S C | Family Medicine | 11000 S Halsted St, Chicago, IL 60628-3909 | 2015-05-27 |
| 1063595718 | Sheng F Wu | Family Medicine | 11000 S Halsted St, Chicago, IL 60628-3909 | 2006-10-23 |
| 1023066917 | Chien I Ko | Family Medicine | 11000 S Halsted St, Chicago, IL 60628-3909 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1558974071 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 555 W Webster Ave, Chicago, IL 60614-7610 | 2020-08-25 |
| 1689286759 | Tia Strong | Durable Medical Equipment & Medical Supplies | 9413 S Vernon Ave, Chicago, IL 60619-7407 | 2020-08-20 |
| 1174134977 | Home Health Connector, LLC | Durable Medical Equipment & Medical Supplies | 1514 W 87th St Ste 2, Chicago, IL 60620-4819 | 2020-08-14 |
| 1013527092 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 | 2020-08-05 |
| 1508475732 | Lakepointe Spine, Inc. | Durable Medical Equipment & Medical Supplies | 3452 N Damen Ave, Chicago, IL 60618-6106 | 2020-07-23 |
| 1578184370 | Tulsa Medical Supply & Logistics Inc | Durable Medical Equipment & Medical Supplies | 1657 S Troy St Apt 1, Chicago, IL 60623-2332 | 2020-05-03 |
| 1063031177 | Nicholas Achtien | Durable Medical Equipment & Medical Supplies | 833 N Clark St Unit 1804, Chicago, IL 60610-3419 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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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.