MOON LAKE PHARMACY, INC. (NPI# 1841293719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841293719 |
| Entity Type | Organization |
| Organization Name | MOON LAKE PHARMACY, INC. |
| Practice Address |
1399 W Schaumburg Rd Schaumburg IL 60194-4134 |
| Practice Telephone | 8478953900 |
| Mailing Telephone | 8478953900 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARC YANOW (PRESIDENT) |
| Authorized Official Telephone | 8478953900 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | IL | Suppliers |
| Street Address |
1399 W SCHAUMBURG RD |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60194-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664812 | Alesandra Doughty | Physical Therapist | Schaumburg School District, 524 E Schaumburg Rd, Schaumburg, IL 60194 | 2020-09-21 |
| 1528538600 | Vital Signs Wellness, LLC | Case Management | 744 Leslie Lane, Schaumburg, IL 60194 | 2018-11-30 |
| 1356866958 | Integral Medical & Rehabilitation, S.c | Chiropractor | 399 Glen Byrn Ct, Schaumburg, IL 60194 | 2017-08-04 |
| 1508389883 | Andria Burris | Speech-Language Pathologist | 55 E Schaumburg Rd, Schaumburg, IL 60194 | 2017-07-19 |
| 1598286510 | S&t Medical Group Ltd | Clinic/Center | 1375 E Schaumburg Rd #120, Schaumburd, IL 60194 | 2017-06-29 |
| 1629525126 | Tracy Haut | Dental Hygienist | 131 Bright Ridge Dr, Schaumburg, IL 60194 | 2016-09-01 |
| 1447655733 | Isabell Ciszewski | Counselor | 118 Cumberland Dr, Schaumburg, IL 60194 | 2014-10-29 |
| 1902246317 | Ketty Esther Cruz | Behavioral Analyst | 1901 Finchley Ct, Schaumburg, IL 60194 | 2013-06-29 |
| 1184978983 | For Eyes Optical | Eyewear Supplier (Equipment, not the service) | 2606 W Schaumburg Road, Schaumburg, IL 60194 | 2012-10-31 |
| 1396075206 | Scharrington Dental PC | Dentist | 2505 W. Schaumburg Rd., Schaumburg, IL 60194 | 2009-12-29 |
| Find all providers in zip 60194 | ||||
| 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 |
|---|---|---|---|---|
| 1093055543 | Skypoint Pharmacy Inc | Pharmacy | 1102 S Roselle Rd Ste 1, Schaumburg, IL 60193-4072 | 2013-02-20 |
| 1598013864 | Carepoint Healthcare LLC | Pharmacy | 9 Commerce Dr, Schaumburg, IL 60173-5302 | 2012-08-16 |
| 1003102930 | Sandr Healthcare LLC | Pharmacy | 1350 Remington Rd Ste S, Schaumburg, IL 60173-4822 | 2011-06-20 |
| 1518009703 | Pharmed Inc | Pharmacy | 455 South Roselle Rd, Schaumburg, IL 60193-2971 | 2007-02-13 |
| 1518221993 | Superior Pharmacy Solutions, Inc. | Pharmacy | 2050 E Algonquin Rd, Suite 606, Schaumburg, IL 60173-4144 | 2012-06-29 |
| 1396031001 | Sandr Healthcare LLC | Pharmacy | 1350 Remington Rd Ste S, Schaumburg, IL 60173-4822 | 2011-06-21 |
| 1487769410 | A & T Pharmacy Inc | Pharmacy | 1375 E Schaumburg Rd, Ste 120a, Schaumburg, IL 60194-5166 | 2006-08-20 |
| 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 | SCHAUMBURG |
| Zip Code | 60194 |
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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.