NESSET PAVILION PHARMACY (NPI# 1760483465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760483465 |
| Entity Type | Organization |
| Organization Name | NESSET PAVILION PHARMACY |
| Practice Address |
1775 Ballard Rd Park Ridge IL 60068-1005 |
| Practice Telephone | 8473182810 |
| Practice Fax Number | 8473182795 |
| Mailing Telephone | 8473182810 |
| Mailing Fax Number | 8473182795 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | LINDA B. GEHRT (PHARMACY MANAGER) |
| Authorized Official Telephone | 8473182810 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOCATE MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 14-40469 | 01 | |
| IL | 36-4024817003 | 05 |
| Street Address |
1775 BALLARD RD |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758418 | Benjamin David Catt | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-08 |
| 1245869718 | Christopher Haansehm Kang | Student in an Organized Health Care Education/Training Program | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-06 |
| 1992334577 | Emily Rose Temple-wood | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-05 |
| 1851920557 | Ryan Edwards | Student in an Organized Health Care Education/Training Program | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-04 |
| 1790314805 | Kishan Patel | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1225667256 | Thomas Schmittdiel | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1730718719 | Laith Yasin | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1740819747 | Misbah Razvi | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1962030254 | Sasirekha Pandravada | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-03-31 |
| 1598393043 | Monis Syed | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1730702549 | Aster Pharmacy LLC | Pharmacy | 9213 Waukegan Rd, Morton Grove, IL 60053-2102 | 2020-05-27 |
| 1568083301 | Pointcore, Inc. | Pharmacy | 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 | 2020-05-04 |
| 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 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1720624521 | Affinity Pharmacy Care LLC | Pharmacy | 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 | 2019-11-27 |
| 1104462126 | Loyola University Medical Center | Pharmacy | 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 | 2019-11-25 |
| 1346886512 | Value Plus Pharmacy LLC | Pharmacy | 457 W Liberty St, Wauconda, IL 60084-2452 | 2019-11-22 |
| 1841833100 | April M Bailey | Pharmacy | 1019 Oakcrest Dr, Rantoul, IL 61866-1118 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.