ABBVIE ENDOCRINOLOGY INC (PHARMACY SOLUTIONS) - NPI NUMBER 1326042870

Summary

Provider Name: ABBVIE ENDOCRINOLOGY INC (PHARMACY SOLUTIONS)

NPI Number: 1326042870

Clasification: Pharmacy (3336C0003X)

Specialization: Community/Retail Pharmacy

Address:
1 N WAUKEGAN RD
AP5 NE
NORTH CHICAGO, IL
ZIP 60064

Phone Number: (888) 857-0668



Detailed Information

ABBVIE ENDOCRINOLOGY INC is a community/retail pharmacy pharmacy in North Chicago, 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. The assigned NPI number for this provider is 1326042870 and is registered as an organization entity type.
The provider Is Doing Business As Pharmacy Solutions.

The provider's business address is:

1 N WAUKEGAN RD
AP5 NE
NORTH CHICAGO, IL
ZIP 60064-802
Phone: (888) 857-0668
Fax: (847) 937-3216

The provider's authorized official is Charles Sommercorn .
The authorized official title is Lead Pharmacist and has the following contact phone number (847) 937-2567.

The enumeration date for this NPI number is 6/10/2005 and was last updated on 1/31/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 3336C0003X Pharmacy Community/Retail Pharmacy 054016458 IL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1466653 OTHER NCPDP PROVIDER IDENTIFICATION NUMBER

NPI Record

No. Field Name Field Value
1 NPI 1326042870
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name ABBVIE ENDOCRINOLOGY INC
5 Provider Other Organization Name PHARMACY SOLUTIONS
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 1 N WAUKEGAN RD
8 Provider Second Line Business Practice Location Address AP5 NE
9 Provider Business Practice Location Address City Name NORTH CHICAGO
10 Provider Business Practice Location Address State Name IL
11 Provider Business Practice Location Address Postal Code 600641802
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8888570668
14 Provider Business Practice Location Address Fax Number 8479373216
15 Provider Enumeration Date 6/10/2005
16 Last Update Date 1/31/2013
17 Authorized Official Last Name SOMMERCORN
18 Authorized Official First Name CHARLES
19 Authorized Official Title or Position LEAD PHARMACIST
20 Authorized Official Telephone Number 8479372567
21 Healthcare Provider Taxonomy Code 1 3336C0003X
22 Provider License Number 1 054016458
23 Provider License Number State Code 1 IL
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 1466653
26 Other Provider Identifier Type Code 1 01
27 Other Provider Identifier Issuer 1 NCPDP PROVIDER IDENTIFICATION NUMBER
28 Is Organization Subpart N
29 Authorized Official Credential Text RPH

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.