CARTAGENA PHARMACY INC (NPI# 1902934268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902934268 |
| Entity Type | Organization |
| Organization Name | CARTAGENA PHARMACY INC |
| Practice Address |
1505 W Devon Ave Chicago IL 60660-1313 |
| Practice Telephone | 7732747885 |
| Practice Fax Number | 7732747906 |
| Mailing Telephone | 7732747885 |
| Mailing Fax Number | 7732747906 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-02-22 |
| Authorized Official Name | RONALD KIELAR (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 7732747885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
IL05411448 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1463342 | 01 | |
| OTHER ID NUMBER | 1463342 | 01 |
| Street Address |
1505 W DEVON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811341753 | Ardee Pharmacy Inc | Pharmacy | 1505 W Devon Ave, Suite 100, Chicago, IL 60660-1313 | 2016-04-18 |
| 1891064507 | United Occupational Therapy Center | Occupational Therapist | 1505 W Devon Ave, Chicago, IL 60660-1313 | 2011-12-26 |
| 1679764096 | Rajendra Prasad Mullapudi | Specialist | 1505 W Devon Ave, Chicago, IL 60660-1313 | 2007-08-09 |
| 1447389879 | Camilo Jose Barros | Specialist | 1505 W Devon Ave, Chicago, IL 60660-1313 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| 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 |
| 1093818148 | Altgeld Garden Drug Co. | Pharmacy | 974 E 133rd St, Chicago, IL 60827-1428 | 2006-09-06 |
| 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 |
| 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.