MILLENIUM PHARMACY LTD (NPI# 1689163503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689163503 |
| Entity Type | Organization |
| Organization Name | MILLENIUM PHARMACY LTD |
| Other Organization Name | MILLENNIUM PHARMACY |
| Practice Address |
10604 Southwest Highway Suite 102 Chicago Ridge IL 60415 |
| Mailing Address |
10604 Southwest Hwy Ste 102 Chicago Ridge IL 60415-2704 |
| Practice Telephone | 7089305393 |
| Practice Fax Number | 7085293593 |
| Mailing Telephone | 7089305393 |
| Mailing Fax Number | 7085293593 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | MR. AHMED MAHAFZAH (PHARMACIST IN CHARGE/OWBER) |
| Authorized Official Telephone | 7089305393 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Millennium Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512989 | Millenium Pharmacy Ltd | Pharmacy | 10604 Southwest Hwy Ste 102, Chicago Ridge, IL 60415-2704 | 2020-09-15 |
| Street Address |
10604 SOUTHWEST HIGHWAY SUITE 102 |
| City | CHICAGO RIDGE |
| State | IL |
| Zip Code | 60415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770547309 | Prakash Vaishnav | Internal Medicine | 10604 Southwest Highway, Suite 107, Chicago Ridge, IL 60415-2717 | 2006-04-12 |
| 1225528979 | Thoracic Surgical Associates, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10604 Southwest Highway, Suite 101, Chicago Ridge, IL 60415 | 2018-05-17 |
| 1417245499 | Fadi Aldaas | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2011-07-12 |
| 1659558666 | Essam Fathy Mekhaiel | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2008-01-22 |
| 1649470196 | M. Eyad Karzoun | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-07-23 |
| 1497956981 | Juanbosco Ayala | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-05-30 |
| 1285845818 | Hamed R Mataria | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-05-25 |
| 1396963559 | Moutaz Sunbuli | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-04-23 |
| 1699834754 | Pulmonary Consultants, Sc | Internal Medicine | 10604 Southwest Highway, Chicago Ridge, IL 60415-2717 | 2006-12-06 |
| 1760540470 | Home Healthcare Renewal Services | Home Health | 10604 Southwest Highway, Suite 104, Chicago Ridge, IL 60415-2717 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233854 | All American Physical Therapy P.C. | Clinic/Center | 9830 Ridgeland Ave Ste 3a, Chicago Ridge, IL 60415 | 2018-04-30 |
| 1841711561 | Limitless Transportation of Illinois | Non-emergency Medical Transport (VAN) | 6726 107th St Unit 2c, Chicago Ridge, IL 60415 | 2017-07-03 |
| 1376927293 | Fariha Querishi | Dentist | 6501 W 95th Street, Chicago Ridge, IL 60415 | 2015-07-10 |
| 1780958603 | Delores Jean Jackson | Occupational Therapy Assistant | 10300 Southwest Highway, Chicago Ridge, IL 60415 | 2012-02-24 |
| 1376855395 | Aa1 Medicar Transpotation Inc | Non-emergency Medical Transport (VAN) | 10624 S Major St 2n, Chicago Ridge, IL 60415 | 2010-07-07 |
| 1952591448 | Orion Diagnostic & Chiropractic Center | Chiropractor | 9830 S. Ridgeland Ave, Suite # 5, Chicago Ridge, IL 60415 | 2007-07-31 |
| 1518006808 | Christopher John Green | Dentist | 6422 W 107th St, Chicago Ridge, IL 60415 | 2007-02-05 |
| 1376697383 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 320 Chicago Ridge Mall # C15, Chicago Ridge, IL 60415 | 2007-01-23 |
| 1144372194 | Ikechukwu Oguejiofor | Urology | 10400 S0uthwest Highway, Chicago Ridge, IL 60415 | 2007-01-18 |
| 1306909148 | Edward Philip Mann | Ophthalmology | 5850 W 111th St, Chicago Ridge, IL 60415 | 2006-12-19 |
| Find all providers in zip 60415 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO RIDGE |
| Zip Code | 60415 |
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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.