ST JUDE PHARMACY, INC.


Address: 301 Madison St Ste 114, Joliet, IL 60435-6549
Phone: 8159009000

ST JUDE PHARMACY, INC. (NPI# 1790240489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790240489
Entity Type Organization
Organization Name ST JUDE PHARMACY, INC.
Other Organization Name ST. JUDE PHARMACY
Practice Address 301 Madison St Ste 114
Joliet
IL 60435-6549
Practice Telephone 8159009000
Practice Fax Number 8159005500
Mailing Telephone 8159009000
Mailing Fax Number 8159005500
Enumeration Date 2019-02-06
Last Update Date 2019-04-12
Authorized Official Name MOHAMMED J ALAHMED (PHARMACIST IN CHARGE)
Authorized Official Telephone 8159009000
Authorized Official Credential RPH.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IL IDFPR ILLINOIC CONTROLLED PHARMACY LICENSE 320012950 01
IL ILLINOIS DEPARTMENT IF FINANCIAL AND PROFESSIONAL REGULATION PHA 054021109 01

Other Provider/Organization Names

Other Name Type Code
ST. JUDE PHARMACY Doing Business As Name - Organization

Office Location

Street Address 301 MADISON ST STE 114
City JOLIET
State IL
Zip Code 60435-6549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285820605 Walgreen Co. Durable Medical Equipment & Medical Supplies 301 Madison St Ste 114, Joliet, IL 60435-6549 2007-09-19
1447533823 John Michael Egner Pharmacist 301 Madison St Ste 114, Joliet, IL 60435-6549 2011-09-22
1124306741 Mohammed J Alahmed Pharmacist 301 Madison St Ste 114, Joliet, IL 60435-6549 2011-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851889018 Chime Ajiere Nurse Practitioner 511 Theodore St, Joliet, IL 60435 2018-04-24
1740791284 Melanie Presnak Speech-Language Pathologist 1207 N Larkin Ave, Joliet, IL 60435 2017-10-23
1831618883 Jeriel Marsena Quarles Licensed Practical Nurse 1617 W Jefferson Street, Joliet, IL 60435 2017-09-11
1053769760 Cody Hutchinson Physical Therapy Assistant 2943 W Jefferson St, Joliet, IL 60435 2016-06-03
1659748549 Megan Ryab Massage Therapist 501 Wilcox St, Joliet, IL 60435 2015-08-26
1922416197 Kodo Care, Inc. Pharmacy 221 Springfield Avenue, Suite A, Joliet, IL 60435 2014-07-31
1528489739 My Family Doc LLC Family Medicine 2001-03 Essington Rd, Joliet, IL 60435 2013-12-16
1184973869 R A Lombardi Dds PC Dentist 3011 Theodore St., Joliet, IL 60435 2012-09-10
1245546076 Kelly Rae Lesemann Chiropractor 1011 Essington Road, Joliet, IL 60435 2010-08-31
1932413697 Ann E Todd Optometrist 1521 Essington Road, Everything In Sight, Joliet, IL 60435 2010-08-04
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518171313 Essington Pharmacy Pharmacy 2202 Essington Rd Ste 102, Joliet, IL 60435-1634 2007-05-10
1124126966 Highland Park Cvs LLC Pharmacy 3200 Caton Farm, Joliet, IL 60431 2006-09-20
1538175906 Walgreen Co Pharmacy 1801 Ingalls Ave, Joliet, IL 60435-7903 2006-07-31
1033132311 Highland Park Cvs LLC Pharmacy 2701 Plainfield Rd, Joliet, IL 60435-1166 2006-07-26
1235458910 Basinger's Madison Pharmacy Pharmacy 330 Madison St, Suite 102, Joliet, IL 60435-6565 2010-05-20
1700039120 Bubblepack Pharmacy Inc Pharmacy 2202 Essington Rd, Ste 104, Joliet, IL 60435-1634 2008-10-29
1649331711 Primary Pharmacy Inc Pharmacy 2025 S Chicago St, Joliet, IL 60436-3172 2006-12-13
1932281722 Basingers Pharmacy Inc Pharmacy 300 N Ottawa St, Joliet, IL 60432-4009 2006-10-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538582 Wilmington Pharmacy LLC Pharmacy 600 W Baltimore St, Wilmington, IL 60481-1281 2020-11-03
1952909632 Cordant Pharmacy Illinois, LLC Pharmacy 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 2020-10-14
1386242352 Letitride, Inc. Pharmacy 501 W Oak Street, Fairbury, IL 61739 2020-10-13
1699389890 J2sb LLC Pharmacy 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 2020-09-04
1891308045 Apotheco Pharmacy Lincoln Park LLC Pharmacy 2140 N Halsted St, Chicago, IL 60614-4385 2020-08-27
1982217345 Costco Wholesale Corporation Pharmacy 2002 N. Neil St., Champaign, IL 61820 2020-08-26
1710599485 Costco Wholesale Corporation Pharmacy 16261 S Boulevard Pl, Plainfield, IL 60586-4400 2020-08-23
1982212635 Grand Pharmacy LLC Pharmacy 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 2020-07-20
1871110254 Illini Clinic Pharmacy Inc Pharmacy 103 N Prospect St, Cambridge, IL 61238-1148 2020-07-01
1831716745 The Project of The Quad Cities Pharmacy 1701 River Dr Ste 106, Moline, IL 61265-1384 2020-06-26
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Competitor

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City JOLIET
Zip Code 60435

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Dataset Information

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.

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