MEDCENTRIX INC (NPI# 1770758930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770758930 |
| Entity Type | Organization |
| Organization Name | MEDCENTRIX INC |
| Other Organization Name | INGALLS PROF PHARMACY |
| Practice Address |
71 W 156th St Suite #104 Harvey IL 60426-4260 |
| Practice Telephone | 7083335388 |
| Practice Fax Number | 7089152095 |
| Mailing Telephone | 7083335388 |
| Mailing Fax Number | 7089152095 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | MR. RONALD J RUTKOWSKI (PHARMACY MANAGER) |
| Authorized Official Telephone | 7083335388 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 054009589 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| ingalls prof pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407022247 | Medcentrix Inc | Pharmacy | 19550 Governors Hwy, Flossmoor, IL 60422-2125 | 2008-05-01 |
| 1598930752 | Medcentrix Inc | Pharmacy | 31 W 155th St, Harvey, IL 60426-3556 | 2008-04-28 |
| 1346372372 | Medcentrix Inc | Pharmacy | 31 W 155th St, Harvey, IL 60426-3556 | 2007-03-13 |
| 1912057027 | Medcentrix Inc | Pharmacy | 71 W 156th St, Suite 104, Harvey, IL 60426-4260 | 2007-01-11 |
| Street Address |
71 W 156TH ST SUITE #104 |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-4260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217078 | Michael Sean Romberg | Surgery | 71 W 156th St, Suite 311, Harvey, IL 60426-4260 | 2005-07-05 |
| 1205372901 | Margaret A Geisler | Physician Assistant | 71 W 156th St, Suite 308, Harvey, IL 60426-4260 | 2017-01-18 |
| 1740630300 | Karen Woodard | Nurse Practitioner | 71 W 156th St, 401, Harvey, IL 60426-4260 | 2016-06-15 |
| 1841676038 | Sas Surgical Ltd. | Surgery | 71 W 156th St, Suite 311, Harvey, IL 60426-4260 | 2015-08-11 |
| 1003243155 | Indiana Radiology Imaging Consultants | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2013-10-03 |
| 1467705988 | Arizona Radiology Imaging Consultants, Pllc | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2012-10-22 |
| 1831461771 | Georgia Radiology Imaging Consultants, LLC | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2012-02-08 |
| 1851669725 | Surgical Care Associates Ltd | Surgery | 71 W 156th St, Suite 309, Harvey, IL 60426-4260 | 2011-12-07 |
| 1053699140 | Renaud Duval | Ophthalmology | 71 W 156th St, Suite #400, Harvey, IL 60426-4265 | 2011-07-24 |
| 1417274184 | Donne Bennett De Leon Caces | Internal Medicine | 71 W 156th St, Suite 401, Harvey, IL 60426-4260 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| 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] |
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| 1174708127 | Kroger Specialty Pharmacy La LLC | Pharmacy | 2731 Manhattan Blvd, Ste B17, Harvey, LA 70058-6151 | 2008-01-08 |
| 1508877168 | Service Drug and Gift Inc | Pharmacy | 815 Lincoln Ave, Harvey, ND 58341-1521 | 2006-08-10 |
| 1407282585 | Fountain Park Pharmacy Inc. | Pharmacy | 1901 Manhattan Blvd, Building F Suite 104, Harvey, LA 70058-3582 | 2013-09-19 |
| 1912147646 | Nguyen Pharmacy Inc | Pharmacy | 3709 Westbank Expy, Suite 1-c, Harvey, LA 70058-2600 | 2009-02-20 |
| 1912057027 | Medcentrix Inc | Pharmacy | 71 W 156th St, Suite 104, Harvey, IL 60426-4260 | 2007-01-11 |
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| 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 | ||||
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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.