ALTGELD GARDEN DRUG CO. (NPI# 1093818148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093818148 |
| Entity Type | Organization |
| Organization Name | ALTGELD GARDEN DRUG CO. |
| Practice Address |
974 E 133rd St Chicago IL 60827-1428 |
| Practice Telephone | 7732640787 |
| Practice Fax Number | 7732641191 |
| Mailing Telephone | 7732640787 |
| Mailing Fax Number | 7732641191 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERSKINE ALBERT CARTWRIGHT III (PRESIDENT) |
| Authorized Official Telephone | 7732640787 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
IL | Suppliers |
| Street Address |
974 E 133RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60827-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942759758 | Lanette Newman | Driver | 14411 S Lasalle St, Riverdale, IL 60827 | 2016-09-22 |
| 1053771519 | Klr Transport LLC | Non-emergency Medical Transport (VAN) | 14241 Stewart Ave, Riverdale, IL 60827 | 2016-02-26 |
| 1487998316 | Sherry Coleman | Counselor | 1007 West 123rd Street, Calumet Park, IL 60827 | 2012-11-15 |
| 1275756850 | Bruce Michael Cable | Dentist | 100 W 144th St, Riverdale, IL 60827 | 2007-04-11 |
| 1548377716 | Lolita A Wilburn | Chiropractor | 12647 S Justine, Calumet Park, IL 60827 | 2006-08-24 |
| 1598720088 | Infinite Imaging Inc | Clinic/Center | 1029 E 30th St, Chicago, IL 60827 | 2006-04-19 |
| 1194000299 | Neal's Transportation | Non-emergency Medical Transport (VAN) | 13401 S Halsted St, Riverdale, IL 60827-1121 | 2011-10-20 |
| 1982048526 | Denise Simpson | Occupational Therapy Assistant | 13751 S Lowe Ave, Riverdale, IL 60827-1188 | 2013-04-25 |
| 1144883943 | Kenika Lionta Carter | Developmental Therapist | 13246 S Praire Av, Chicago, IL 60827-1246 | 2019-04-17 |
| 1164897302 | Helping Hands Enterprises LLC | Non-emergency Medical Transport (VAN) | 13246 S Langley Ave, Chicago, IL 60827-1336 | 2015-12-13 |
| Find all providers in zip 60827 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1447783915 | Bienestar Pharmacy IIi, Inc | Pharmacy | 2359 S Western Ave, Suite 100, Chicago, IL 60608-3837 | 2017-04-11 |
| 1760656987 | Mtm Services | Pharmacy | 1524 S Sangamon St Unit 512, Chicago, IL 60608-2268 | 2008-04-18 |
| 1023137528 | John H Stroger Jr. Hospital Pharmacy of Cook County | Pharmacy | 1901 W Harrison St Rm Ll170, Chicago, IL 60612-3714 | 2007-03-28 |
| 1588781298 | Cook County | Pharmacy | 500 E 51st Street, Room 2008 and 2050, Chicago, IL 60615 | 2007-03-26 |
| 1447390125 | Board of Trustees of The University of Illinois | Pharmacy | 722 W Maxwell St, Room 205 Mc 184, Chicago, IL 60607-5002 | 2007-02-08 |
| 1689138448 | Surecare Discount Pharmacy 2 Inc | Pharmacy | 800 E 55th St, Chicago, IL 60615-4906 | 2019-01-25 |
| 1225485303 | Ramp Rx Inc | Pharmacy | 3241 S Michigan Ave, Ste 1583, Chicago, IL 60616-4201 | 2016-05-19 |
| 1104208289 | At Home Rx, Inc | Pharmacy | 5875 N Lincoln Ave, Sutie 129, Chicago, IL 60659-4672 | 2015-06-24 |
| 1669861696 | A-s Medication Solutions LLC | Pharmacy | 333 S Ashland Ave, Suite 402, Chicago, IL 60607-2703 | 2015-01-14 |
| 1851797310 | Care Central Pharmacy Inc | Pharmacy | 3445 N Central Ave, Chicago, IL 60634-4420 | 2014-11-11 |
| 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.