BOLINGBROOK COMPOUNDING PHARMACY


Address: 402 W Boughton Rd Ste C, Bolingbrook, IL 60440-1985
Phone: 6307596464

BOLINGBROOK COMPOUNDING PHARMACY (NPI# 1588082127) 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) 1588082127
Entity Type Organization
Organization Name BOLINGBROOK COMPOUNDING PHARMACY
Other Organization Name BOLINGBROOK COMPOUNDING PHARMACY
Practice Address 402 W Boughton Rd Ste C
Bolingbrook
IL 60440-1985
Practice Telephone 6307596464
Practice Fax Number 6307591780
Mailing Telephone 6307596464
Mailing Fax Number 6307591780
Enumeration Date 2014-04-01
Last Update Date 2014-04-01
Authorized Official Name JOHN SINGLETARY (OWNER/PHARMACIST)
Authorized Official Telephone 6307596464
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
054005594 IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2144727 01

Other Provider/Organization Names

Other Name Type Code
Bolingbrook Compounding Pharmacy Doing Business As Name - Organization

Office Location

Street Address 402 W BOUGHTON RD STE C
City BOLINGBROOK
State IL
Zip Code 60440-1985

Providers in the same zip code

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1578072815 Onna Ford-kendrick Nurse Practitioner 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 2017-09-28
1891245213 Megan Lotarski Specialist/Technologist 6 Copper Ct, Bolingbrook, IL 60440 2016-10-10
1144775800 Mitchell Quill Chiropractor 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 2016-08-23
1477914125 Alessia L. Elerby Specialist 128 S Cass Ave, Westmont, IL 60440 2016-03-09
1982073821 Melissa Perkins Counselor 511 Preston Drive, Bolingbrook, IL 60440 2015-09-22
1821467754 Advanced Patient Care, LLC. Pharmacy 335-337 Remington Blvd., Bolingbrook, IL 60440 2015-09-22
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184923260 Adventist Bolingbrook Hospital Pharmacy 500 Remington Blvd, Bolingbrook, IL 60440-4906 2011-03-15

Providers in the same taxonomy and state

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
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
1598058273 Care One Pharmacy Services LLC Pharmacy 3855 Oakton St, Skokie, IL 60076-3429 2011-05-27
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Competitor

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City BOLINGBROOK
Zip Code 60440

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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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