MYMED PHARMACY INC (NPI# 1396194239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396194239 |
| Entity Type | Organization |
| Organization Name | MYMED PHARMACY INC |
| Other Organization Name | MYMED PHARMACY |
| Practice Address |
9838 S Roberts Rd Ste 6 Palos Hills IL 60465-1547 |
| Practice Telephone | 7085768580 |
| Practice Fax Number | 7085293412 |
| Mailing Telephone | 7085768580 |
| Mailing Fax Number | 7085293412 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | JOHN ELZAIBAK (MANAGER) |
| Authorized Official Telephone | 7085768580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
054019958 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160563 | 01 |
| Other Name | Type Code |
|---|---|
| Mymed Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225404999 | Mymed Pharmacy Inc | Pharmacy | 7141 N Cedar Ave, Suite 104, Fresno, CA 93720-3327 | 2015-08-18 |
| Street Address |
9838 S ROBERTS RD STE 6 |
| City | PALOS HILLS |
| State | IL |
| Zip Code | 60465-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306368774 | Cuttings Edge Medical Transit, Inc. | Non-emergency Medical Transport (VAN) | 10612 S Roberts Rd, Suite 10, Palos Hills, IL 60465 | 2017-07-07 |
| 1447781653 | Zain Rehman | Registered Nurse | 10571 Palos Pl, Unit A, Palos Hills, IL 60465 | 2017-03-21 |
| 1770956476 | Judita Slusnys | Nurse Practitioner | 11051 S. 84th Ave, Palos Hills, IL 60465 | 2015-11-04 |
| 1154755098 | Catherine D Moore | Counselor | 9962 Hill Terrence Building 23 Apt 212, Palos Hill, IL 60465 | 2013-08-28 |
| 1770866964 | Dominika Sekulska | Counselor | 10537 South Roberts Road, Palos Hills, IL 60465 | 2011-09-23 |
| 1851686950 | Metropolitan Family Services | Community Based Residential Treatment Facility, Mental Illness | 10537 Roberts Road, Palos Hill, IL 60465 | 2011-06-16 |
| 1205129764 | Zbigniev Durlak | Preventive Medicine | 9930 Stratford L, Palos Hills, IL 60465 | 2011-05-17 |
| 1962562322 | James D Michalarias | Dentist | 9900 S Roberts Rd, Palos Hills, IL 60465 | 2006-12-08 |
| 1912072729 | Illinois Wisconsin Sertoma Regional Center for Communicative Disorders | Speech-Language Pathologist | 10409 South Roberts Road, Palos Hills, IL 60465 | 2006-11-21 |
| 1831201235 | William George Revethis | Internal Medicine | 10400 Roberts Rd, Suite B, Palos Hills, IL 60465 | 2006-08-31 |
| Find all providers in zip 60465 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936132 | Aafiyah Solutions Inc | Pharmacy | 1041 W Golf Rd, Hoffman Estates, IL 60169-1339 | 2019-11-11 |
| 1265805592 | Professional Pharmacy Inc | Pharmacy | 2069 Barrington Rd, Hoffman Estates, IL 60169-2086 | 2015-11-09 |
| 1861880833 | Al-machnee Inc | Pharmacy | 7953 S Cicero Ave, Chicago, IL 60652-2037 | 2014-12-29 |
| 1083002034 | Premier Family Pharmacy Inc | Pharmacy | 5600 W 87th St Ste B, Burbank, IL 60459-2902 | 2014-12-29 |
| 1699189134 | Custom Care Pharmacy LLC | Pharmacy | 7007 North Ave, Oak Park, IL 60302-1001 | 2014-06-12 |
| 1588082127 | Bolingbrook Compounding Pharmacy | Pharmacy | 402 W Boughton Rd Ste C, Bolingbrook, IL 60440-1985 | 2014-04-01 |
| 1588906507 | Pill Shop Pharmacy Inc | Pharmacy | 3535 E New York St Ste 117, Aurora, IL 60504-4466 | 2013-03-18 |
| 1285970574 | Northern Rx LLC | Pharmacy | 2012 E. Nw Hwy., Arlington Heights, IL 60004 | 2012-12-14 |
| 1376802462 | Rock Valley Compounding Pharmacy LLC | Pharmacy | 811 S Perryville Rd Unit 109, Rockford, IL 61108-4323 | 2012-05-09 |
| 1306102728 | Propharm Rx Inc | Pharmacy | 115 S Macoupin St, Gillespie, IL 62033-1516 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HILLS |
| Zip Code | 60465 |
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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.