MERCY HOSPITAL AND MEDICAL CENTER (NPI# 1447260542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447260542 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL AND MEDICAL CENTER |
| Other Organization Name | COMMUNITY PHARMACY AT MERCY HOSPITAL |
| Practice Address |
2525 S Michigan Ave Op Pharmacy / 1st Flr Chicago IL 60616-2333 |
| Practice Telephone | 3125672050 |
| Practice Fax Number | 3125676073 |
| Mailing Telephone | 3125672050 |
| Mailing Fax Number | 3125676073 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | LARRY COHEN (OUTPATIENT PHARMACY MANAGER) |
| Authorized Official Telephone | 3125672050 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Community Pharmacy at Mercy Hospital | Doing Business As Name - Organization |
| Mercy Family Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750728895 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 South Michigan Avenue, Chicago, IL 60616 | 2013-05-30 |
| 1134417983 | Mercy Hospital and Medical Center | General Acute Care Hospital | 1212 S Michigan Ave, Unit 2502, Chicago, IL 60605-2416 | 2011-07-14 |
| 1184934135 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 South Michigan Ave, Mercy Hospital and Medical Center, Chicago, IL 60616 | 2010-10-08 |
| 1750699047 | Mercy Hospital and Medical Center | General Acute Care Hospital | 1s158 Danby St, Villa Park, IL 60181-3611 | 2010-09-20 |
| 1609180199 | Mercy Hospital and Medical Center | General Acute Care Hospital | 351 E 25th Pl Unit 3, Chicago, IL 60616-5501 | 2010-07-27 |
| 1316353147 | Mercy Hospital and Medical Center | Durable Medical Equipment & Medical Supplies | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2014-07-01 |
| 1982908455 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 S Michigan Ave, 2-463, Chicago, IL 60616-2333 | 2010-12-27 |
| 1366743163 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 S Michigan Ave, Chicago, IL 60616-2333 | 2010-11-10 |
| 1417117185 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 S Michigan Ave, Chicago, IL 60616-2333 | 2008-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL AND MEDICAL CENTER | 2525 S Michigan Ave, Chicago, IL 60616-2315 |
| Street Address |
2525 S MICHIGAN AVE OP PHARMACY / 1ST FLR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937628 | Bassam Osman | Psychiatry & Neurology | 2525 S Michigan Ave, Chicago, IL 60616-2333 | 2005-07-28 |
| 1821699794 | Gabrielle Klugman | Speech-Language Pathologist | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-11-05 |
| 1588278766 | Omar Hegazy | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-09-03 |
| 1326657651 | Stevan Oluic | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-07-22 |
| 1821616947 | Peter Pyagay | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-07-07 |
| 1225655665 | Elliot A Petropoulos | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-07-01 |
| 1053931758 | Kristiina Carol Miller | Student in an Organized Health Care Education/Training Program | 2525 S Michigan Ave, Chicago, IL 60616 | 2020-04-22 |
| 1316567365 | Nikita Grama | Podiatrist | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-04-20 |
| 1073132031 | David Fares Nassif Hana | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-04-10 |
| 1932728961 | Maria Geraldinesneha Devanesan | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| 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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|---|---|---|---|---|
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 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.