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OM RED GANESH INC NPI 1073754149


NPI Information

NPI: 1073754149
Provider Name: OM RED GANESH INC

Doing Business As: JDISCOUNT PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2701 W DIVISION ST
CHICAGO, IL
ZIP 60622
Phone: (773) 278-5337
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OM RED GANESH INC is a community/retail pharmacy pharmacy in 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. OM RED GANESH INC NPI is 1073754149. The provider is registered as an organization entity type.
The provider Is Doing Business As Jdiscount Pharmacy.

The provider's business location address is:

2701 W DIVISION ST
CHICAGO, IL
ZIP 60622-854
Phone: (773) 278-5337
Fax: (773) 278-5365

The provider's authorized official is Jatin J Patel .
The authorized official title is Owner and has the following contact phone number (773) 278-5337.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 5/5/2009.


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
13336C0003XPharmacyCommunity/Retail Pharmacy3336C0003XILLINOISYes

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
1263976548001MEDICAIDILLINOIS

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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