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MASCOT PHARMACY INC NPI 1144385576


NPI Information

NPI: 1144385576
Provider Name: MASCOT PHARMACY INC

Doing Business As: MEDICINE SHOPPE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
110 MAIN ST
PARK RIDGE, IL
ZIP 60068
Phone: (847) 698-3323
Get Directions

MASCOT PHARMACY INC is a community/retail pharmacy pharmacy in Park Ridge, IL. The provider is 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. MASCOT PHARMACY INC NPI is 1144385576. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

110 MAIN ST
PARK RIDGE, IL
ZIP 60068-030
Phone: (847) 698-3323
Fax: (847) 698-4112

The provider's authorized official is Maria L Costa .
The authorized official title is Owner Pharmacist and has the following contact phone number (847) 698-3323.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 10/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy054014403ILLINOISNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11425950OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
23998760001MEDICARE NSCILLINOIS
3BM6897310OTHERILLINOISDEA #
4=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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