RED CAP PHARMACY 002, LLC (NPI# 1609317759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609317759 |
| Entity Type | Organization |
| Organization Name | RED CAP PHARMACY 002, LLC |
| Other Organization Name | RED CAP PHARMACY 003 LLC |
| Practice Address |
4640 S Halsted St Ste F Chicago IL 60609-4414 |
| Mailing Address |
37484 Interchange Dr Farmington Hills MI 48335-1023 |
| Practice Telephone | 3137370691 |
| Practice Fax Number | 3132860220 |
| Mailing Telephone | 3137370691 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | MIKE SHEHADI (CEO) |
| Authorized Official Telephone | 3137370691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 054.020247 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168134 | 01 |
| Other Name | Type Code |
|---|---|
| Red Cap Pharmacy 003 LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790226843 | Red Cap Pharmacy 002, LLC | Pharmacy | 2200 S Western Ave Ste F, Chicago, IL 60608-3816 | 2017-03-09 |
| Street Address |
4640 S HALSTED ST STE F |
| City | CHICAGO |
| State | IL |
| Zip Code | 60609-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1306407721 | Athletico Ltd | Physical Therapist | 5336 S State St, Chicago, IL 60609 | 2019-06-26 |
| 1396157939 | Unlimited Resources | Private Vehicle | 8104 S. Kingston, Chicago, IL 60609 | 2014-06-02 |
| 1013215474 | Giles B. Mizock M.d. Ltd. | Obstetrics & Gynecology | 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 | 2011-03-09 |
| 1164691630 | Alfreda D Beard | Dentist | 5050 So State, Chicago, IL 60609 | 2008-02-28 |
| 1588876510 | Victor P Gutierrez | Chiropractor | 1824 W. 47th St., Chicago, IL 60609 | 2007-05-03 |
| 1619092558 | Highlander Care Center, LLC | Skilled Nursing Facility | 4815 S Western Ave, Chicago, IL 60609 | 2007-03-20 |
| 1437295482 | Rolando A Lara | Internal Medicine | 1708 W 47th St, Chicago, IL 60609 | 2007-01-29 |
| 1497765168 | Judith H Mcdevitt | Nurse Practitioner | 734 W. 47th Street, Ihc South, Chicago, IL 60609 | 2006-08-08 |
| 1790795474 | Lorrita Marie Verhey | Nurse Practitioner | 734 W. 47th Street South, Ihc, Chicago, IL 60609 | 2006-08-08 |
| Find all providers in zip 60609 | ||||
| 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 |
|---|---|---|---|---|
| 1336768001 | Mhg Pharmacy Services, LLC | Pharmacy | 2923 N California Ave Ste 240, Chicago, IL 60618-7702 | 2020-04-13 |
| 1184258824 | Metropolitian Austin Outpatient Pharmacy LLC | Pharmacy | 645 S Central Ave Ste 1, Chicago, IL 60644-5059 | 2020-03-02 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1245711027 | Alpha Pharm LLC | Pharmacy | 1406 W Devon Ave, Chicago, IL 60660-1312 | 2018-08-28 |
| 1003396110 | Northwestern Memorial Healthcare | Pharmacy | 171 N Aberdeen St, Chicago, IL 60607-1669 | 2018-08-17 |
| 1760985436 | Crx Pharmacy Inc | Pharmacy | 5941 W Irving Park Rd, Chicago, IL 60634-2618 | 2018-03-08 |
| 1528413945 | Victory Rx, Inc | Pharmacy | 2545 W. Diversey Ave Ste. 104, Chicago, IL 60647 | 2016-05-04 |
| 1194183517 | North Park Pharmacy LLC | Pharmacy | 3324 W Foster Ave, Chicago, IL 60625-4813 | 2016-01-29 |
| 1285099002 | Omar Pharmacy Inc | Pharmacy | 4613 N Sheridan Rd, Chicago, IL 60640-5019 | 2015-12-21 |
| 1104281138 | Local Health, LLC | Pharmacy | 2215 W 95th St, Chicago, IL 60643-1001 | 2015-12-17 |
| 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.