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ALPHA PHARM LLC NPI 1245711027


NPI Information

NPI: 1245711027
Provider Name: ALPHA PHARM LLC

Doing Business As: CHICAGO HEALTHMART PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 14D2099737

Address:
1406 W DEVON AVE
CHICAGO, IL
ZIP 60660
Phone: (773) 856-0944
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ALPHA PHARM LLC is a pharmacy in Chicago, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ALPHA PHARM LLC NPI is 1245711027. The provider is registered as an organization entity type.
The provider Is Doing Business As Chicago Healthmart Pharmacy.

The provider's business location address is:

1406 W DEVON AVE
CHICAGO, IL
ZIP 60660-312
Phone: (773) 856-0944

The provider's authorized official is Ephrem Melesse Gebremedhin .
The authorized official title is Pharmd and has the following contact phone number (773) 963-1737.

The CLIA number assigned to this NPI record is 14D2099737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 8/28/2018.


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
1333600000XPharmacy054020656ILLINOISYes

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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