BOLINGBROOK PHARMACY INC (NPI# 1912001967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912001967 |
| Entity Type | Organization |
| Organization Name | BOLINGBROOK PHARMACY INC |
| Other Organization Name | BOLINGBROOK PHARMACY INC |
| Practice Address |
402 W Boughton Rd Ste C Bolingbrook IL 60440-1872 |
| Practice Telephone | 6307596464 |
| Practice Fax Number | 6307591780 |
| Mailing Telephone | 6307596464 |
| Mailing Fax Number | 6307591780 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | JOHN SINGLETARY (RPH/OWNER) |
| Authorized Official Telephone | 6307596464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
054005594 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2022733 | 01 |
| Other Name | Type Code |
|---|---|
| BOLINGBROOK PHARMACY INC | Doing Business As Name - Organization |
| Street Address |
402 W BOUGHTON RD STE C |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539942 | Joel A Chinnici | Chiropractor | 402 W Boughton Rd, Bolingbrook, IL 60440-1872 | 2005-06-27 |
| 1275060931 | Optimalab Inc | Clinical Medical Laboratory | 402 W Boughton Rd, Suite E, Bolingbrook, IL 60440-1872 | 2017-05-12 |
| 1124498266 | Essential Elements Counseling | Community/Behavioral Health | 402 W Boughton Rd, Suite G, Bolingbrook, IL 60440-1872 | 2015-10-01 |
| 1134457476 | Brenda K. White | Counselor | 402 W Boughton Rd, Suite G, Bolingbrook, IL 60440-1872 | 2009-11-24 |
| 1467669374 | Advanced Allergy & Asthma Clinic S C | Allergy & Immunology | 402 W Boughton Rd, Suite F-1, Bolingbrook, IL 60440-1872 | 2007-05-17 |
| 1265563548 | Burton G. Pinchuk, O.d.,p.c. | Optometrist | 402 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1872 | 2007-03-08 |
| 1326196411 | Manuel Alaban Malicay | Internal Medicine | 402 W Boughton Rd, F, Bolingbrook, IL 60440-1872 | 2007-01-08 |
| 1942220256 | Blair Tanaka, Inc. | Optometrist | 402 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1872 | 2006-07-20 |
| 1760431324 | Burton Gene Pinchuk | Optometrist | 402 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1872 | 2006-05-09 |
| 1912997933 | Naveed Akhtar | Internal Medicine | 402 W Boughton Rd, Suite F-1, Bolingbrook, IL 60440-1872 | 2005-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588082127 | Bolingbrook Compounding Pharmacy | Pharmacy | 402 W Boughton Rd Ste C, Bolingbrook, IL 60440-1985 | 2014-04-01 |
| 1184923260 | Adventist Bolingbrook Hospital | Pharmacy | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936132 | Aafiyah Solutions Inc | Pharmacy | 1041 W Golf Rd, Hoffman Estates, IL 60169-1339 | 2019-11-11 |
| 1265805592 | Professional Pharmacy Inc | Pharmacy | 2069 Barrington Rd, Hoffman Estates, IL 60169-2086 | 2015-11-09 |
| 1861880833 | Al-machnee Inc | Pharmacy | 7953 S Cicero Ave, Chicago, IL 60652-2037 | 2014-12-29 |
| 1083002034 | Premier Family Pharmacy Inc | Pharmacy | 5600 W 87th St Ste B, Burbank, IL 60459-2902 | 2014-12-29 |
| 1699189134 | Custom Care Pharmacy LLC | Pharmacy | 7007 North Ave, Oak Park, IL 60302-1001 | 2014-06-12 |
| 1588906507 | Pill Shop Pharmacy Inc | Pharmacy | 3535 E New York St Ste 117, Aurora, IL 60504-4466 | 2013-03-18 |
| 1285970574 | Northern Rx LLC | Pharmacy | 2012 E. Nw Hwy., Arlington Heights, IL 60004 | 2012-12-14 |
| 1376802462 | Rock Valley Compounding Pharmacy LLC | Pharmacy | 811 S Perryville Rd Unit 109, Rockford, IL 61108-4323 | 2012-05-09 |
| 1306102728 | Propharm Rx Inc | Pharmacy | 115 S Macoupin St, Gillespie, IL 62033-1516 | 2012-04-10 |
| 1598058273 | Care One Pharmacy Services LLC | Pharmacy | 3855 Oakton St, Skokie, IL 60076-3429 | 2011-05-27 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.