PRIMARY PHARMACY INC (NPI# 1649331711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649331711 |
Entity Type | Organization |
Organization Name | PRIMARY PHARMACY INC |
Other Organization Name | BASINGERS PRIMARY CARE PHARMACY |
Practice Address |
2025 S Chicago St Joliet IL 60436-3172 |
Practice Telephone | 8157230300 |
Practice Fax Number | 8157232308 |
Mailing Telephone | 8157230300 |
Mailing Fax Number | 8157232308 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2016-03-16 |
Authorized Official Name | HARISH BHATT (MANAGER) |
Authorized Official Telephone | 8157251102 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
054014258 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2025128 | 01 |
Other Name | Type Code |
---|---|
BASINGERS PRIMARY CARE PHARMACY | Doing Business As Name - Organization |
Street Address |
2025 S CHICAGO ST |
City | JOLIET |
State | IL |
Zip Code | 60436-3172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407846298 | Kalpana Tushar Shah | Dentist | 2025 S Chicago St, Joliet, IL 60436-3172 | 2005-10-24 |
1295218238 | Lisa M Smith | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2018-09-14 |
1619480696 | Mutengwana Kasapu-mwaba | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2017-11-13 |
1437672656 | Laboratory Corporation of America | Clinical Medical Laboratory | 2025 S Chicago St, Joliet, IL 60436-3172 | 2017-07-19 |
1689118143 | Karen Shahan | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2016-12-16 |
1023488475 | Sumar Abushaqra | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2015-09-29 |
1538546791 | Mustafa Aladin | Internal Medicine | 2025 S Chicago St, Joliet, IL 60436-3172 | 2015-04-27 |
1003216557 | Jennifer M Panning | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2014-09-02 |
1619300977 | Lijun He | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2013-08-09 |
1710287818 | Paula Jean Hall | Dietitian, Registered | 2025 S Chicago St, 1051 Essington Rd., Joliet, IL 60436-3172 | 2010-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013431345 | Tiffanie Mcnair | Nurse's Aide | 306 Romayne Ave, Joliet, IL 60436 | 2017-07-28 |
1366964215 | Pamela Coney | Licensed Practical Nurse | 916 Prairie Path Ln, Joliet, IL 60436 | 2017-07-12 |
1104375815 | Cynthia Sylvia | Licensed Practical Nurse | 211 S. Hunter Ave, Joliet, IL 60436 | 2016-09-23 |
1760804629 | Center for Disability Services | Day Training, Developmentally Disabled Services | 311 S Reed St, Joliet, IL 60436 | 2014-01-13 |
1215247093 | Sadra Rae West | Developmental Therapist | 807 Thorn Creek Drive, Joliet, IL 60436 | 2010-10-14 |
1033360136 | Tonya Hagenbaumer | Dietitian, Registered | 2025 S. Chicago Street, Joliet, IL 60436 | 2008-10-07 |
1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
1790750412 | Maria L Ramirez | Occupational Therapist | 709 Margaret St, Rockdale, IL 60436 | 2006-02-17 |
Find all providers in zip 60436 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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 |
---|---|---|---|---|
1962952283 | Basinger's Pharmacy, Inc | Pharmacy | 1106 Neal Ave, Joliet, IL 60433-2548 | 2016-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447783915 | Bienestar Pharmacy IIi, Inc | Pharmacy | 2359 S Western Ave, Suite 100, Chicago, IL 60608-3837 | 2017-04-11 |
1851639371 | Health Delivery Management, LLC | Pharmacy | 430 Warrenville Road, Lisle, IL 60532 | 2013-01-17 |
1821239419 | Lehan Drugs Inc | Pharmacy | 1850 Gateway Dr. Suite A, Sycamore, IL 60178 | 2009-03-12 |
1760656987 | Mtm Services | Pharmacy | 1524 S Sangamon St Unit 512, Chicago, IL 60608-2268 | 2008-04-18 |
1023137528 | John H Stroger Jr. Hospital Pharmacy of Cook County | Pharmacy | 1901 W Harrison St Rm Ll170, Chicago, IL 60612-3714 | 2007-03-28 |
1588781298 | Cook County | Pharmacy | 500 E 51st Street, Room 2008 and 2050, Chicago, IL 60615 | 2007-03-26 |
1447390125 | Board of Trustees of The University of Illinois | Pharmacy | 722 W Maxwell St, Room 205 Mc 184, Chicago, IL 60607-5002 | 2007-02-08 |
1982791240 | Weber Medical Clinic Ltd | Pharmacy | 1200 N East Street, Olney, IL 62450-2499 | 2006-10-06 |
1093818148 | Altgeld Garden Drug Co. | Pharmacy | 974 E 133rd St, Chicago, IL 60827-1428 | 2006-09-06 |
1649270125 | American Pharmacy Inc | Pharmacy | 2200 W Roosevelt Rd, Broadview, IL 60155-3888 | 2005-07-27 |
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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.