SURECARE DISCOUNT INC (NPI# 1770019861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770019861 |
| Entity Type | Organization |
| Organization Name | SURECARE DISCOUNT INC |
| Other Organization Name | MYCARE PHARMACY |
| Practice Address |
9718 S Halsted St Chicago IL 60628-1007 |
| Practice Telephone | 7736491914 |
| Practice Fax Number | 7738301913 |
| Mailing Telephone | 7736491914 |
| Mailing Fax Number | 7738301913 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | MR. HANSAL T PATEL (PRESIDENT) |
| Authorized Official Telephone | 7736491914 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| MYCARE PHARMACY | Doing Business As Name - Organization |
| Street Address |
9718 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619939212 | Victor L Thomas | Internal Medicine | 9718 S Halsted St, Chicago, IL 60628-1007 | 2006-04-06 |
| 1134727811 | Seunghee Song | Nurse Practitioner | 9718 S Halsted St, Chicago, IL 60628-1007 | 2020-10-14 |
| 1811524713 | Rachel Lauber | Family Medicine | 9718 S Halsted St, Chicago, IL 60628-1007 | 2020-03-23 |
| 1124653613 | Alisha Fuller | Counselor | 9718 S Halsted St, Chicago, IL 60628-1007 | 2020-03-05 |
| 1093353385 | Monica Angelina Batchelor | Nurse Practitioner | 9718 S Halsted St, Chicago, IL 60628-1007 | 2019-12-17 |
| 1366927360 | Marian Nwamaka Chukwumah | Nurse Practitioner | 9718 S Halsted St, Chicago, IL 60628-1007 | 2018-09-26 |
| 1083111777 | Myra Sikwata | Nurse Practitioner | 9718 S Halsted St, Chicago, IL 60628 | 2018-04-09 |
| 1427558261 | Tenisha Ridgeway | Counselor | 9718 S Halsted St, Chicago, IL 60628-1007 | 2018-02-19 |
| 1659743979 | Dannon Rae Martin | Physician Assistant | 9718 S Halsted St, Chicago, IL 60628-1007 | 2015-10-26 |
| 1649641747 | Dorothy Mato Akaeze | Nurse Practitioner | 9718 S Halsted St, Chicago, IL 60628-1007 | 2015-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| 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] |
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| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1558994921 | Diaz Holdings, Inc. | Pharmacy | 3204 W Lawrence Ave, Chicago, IL 60625-5209 | 2020-02-13 |
| 1427698349 | Heena Vital Rx, Inc. | Pharmacy | 1525 E 55th St Ste 103, Chicago, IL 60615-5514 | 2020-01-08 |
| 1952944563 | Ameer Pharmacy Inc. | Pharmacy | 104 W 111th St, Chicago, IL 60628-4215 | 2019-10-26 |
| 1255981106 | Elsdon Pharmacy, Inc. | Pharmacy | 4254 W 55th St Ste 100, Chicago, IL 60632-4642 | 2019-09-12 |
| 1346702669 | Cardinal Health 132 LLC | Pharmacy | 641 W 63rd St Ste 100, Chicago, IL 60621-2032 | 2019-04-04 |
| 1245703982 | Luna Pharmacy At Madison LLC | Pharmacy | 3171 W Madison St Ste 2, Chicago, IL 60612-1809 | 2019-01-04 |
| 1427534742 | Genoa Healthcare, LLC | Pharmacy | 4318 S State St Ste 26, Chicago, IL 60609-3701 | 2018-07-19 |
| 1356843072 | Advanced Care Rx LLC | Pharmacy | 11422 S Western Ave Ste 101, Chicago, IL 60643-4120 | 2018-03-08 |
| 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.