MADDEN MENTAL HEALTH PHARMACY (NPI# 1669525549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669525549 |
| Entity Type | Organization |
| Organization Name | MADDEN MENTAL HEALTH PHARMACY |
| Practice Address |
1200 S. 1st Ave Hines IL 60141-7000 |
| Practice Telephone | 7083387319 |
| Practice Fax Number | 7083387088 |
| Mailing Telephone | 7083387319 |
| Mailing Fax Number | 7083387088 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | MS. SANDRA ALVARADO (PHARMACY MANAGER) |
| Authorized Official Telephone | 7083387319 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
058.013487 | IL | Suppliers |
| Street Address |
1200 S. 1ST AVE |
| City | HINES |
| State | IL |
| Zip Code | 60141-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689024036 | Forum Extended Care Services of Central Illinois | Pharmacy | 614 N 6th St Unit 200, Springfield, IL 62702-5313 | 2016-06-16 |
| 1730514944 | Rx Remote Solutions | Pharmacy | 1771 W Diehl Rd Ste 300, Naperville, IL 60563-4921 | 2013-09-06 |
| 1205854866 | Oak Forest Hospital Pharmacy | Pharmacy | 15900 Cicero Avenue, Oak Forest, IL 60452-4006 | 2006-07-18 |
| 1124064035 | Southern Illinois University Student | Pharmacy | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2006-06-20 |
| 1235525270 | Southern Illinois Hospital Services | Pharmacy | 405 W Jackson St, Carbondale, IL 62901-1462 | 2015-04-07 |
| 1346592821 | Edward Hospital | Pharmacy | 801 S Washington St, Naperville, IL 60540 | 2012-10-09 |
| 1861648099 | Carle Foundation Hospital | Pharmacy | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2008-08-07 |
| 1285852772 | Carlinville Area Hospital Association | Pharmacy | 1001 Morgan St, Carlinville, IL 62626-1448 | 2007-04-23 |
| 1679616080 | Kiley Center | Pharmacy | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-02-15 |
| 1306987201 | Hammond Henry Hospital | Pharmacy | 600 N College Ave, Geneseo, IL 61254-1091 | 2007-02-12 |
| 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.