CORDANT PHARMACY ILLINOIS, LLC (NPI# 1952909632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952909632 |
| Entity Type | Organization |
| Organization Name | CORDANT PHARMACY ILLINOIS, LLC |
| Practice Address |
8623 W Bryn Mawr Ave Ste 504 Chicago IL 60631-3525 |
| Mailing Address |
1620 W Northwest Hwy Ste 100 Grapevine TX 76051-3219 |
| Practice Telephone | 8722645673 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | FARA TIPPIT (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 7202723535 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORDANT PHARMACY ILLINOIS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS BOARD OF PHARMACY | 054.021576 | 01 |
| Other Name | Type Code |
|---|---|
| Cordant Pharmacy Solutions #R118 | Doing Business As Name - Organization |
| Street Address |
8623 W BRYN MAWR AVE STE 504 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1841792355 | Aids Healthcare Foundation | Pharmacy | 3311 N Halsted St, Chicago, IL 60657-2412 | 2018-03-01 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on CORDANT PHARMACY ILLINOIS, LLC.
| 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.