Provider Type Icon

COMMUNITY PHARMACY OF CHICAGO RIDGE INC NPI 1649501206


NPI Information

NPI: 1649501206
Provider Name: COMMUNITY PHARMACY OF CHICAGO RIDGE INC

Doing Business As: COMMUNITY PHARMACY OF CHICAGO RIDGE

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 14D2203189

Address:
9830 RIDGELAND AVE
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 961-4980
Get Directions

COMMUNITY PHARMACY OF CHICAGO RIDGE INC is a pharmacy in Chicago Ridge, 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. COMMUNITY PHARMACY OF CHICAGO RIDGE INC NPI is 1649501206. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Pharmacy Of Chicago Ridge.

The provider's business location address is:

9830 RIDGELAND AVE
CHICAGO RIDGE, IL
ZIP 60415-667
Phone: (708) 961-4980
Fax: (773) 890-1802

The provider's authorized official is Jawad H Hamdan .
The authorized official title is President/pic and has the following contact phone number (708) 229-2100.

The CLIA number assigned to this NPI record is 14D2203189 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2010 and was last updated on 11/22/2020.


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
1332B00000XDurable Medical Equipment & Medical Supplies054-016794ILLINOISNo
2333600000XPharmacy54-016794ILLINOISYes

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
154-016794OTHERILLINOISIL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION - PHARMACY LICENSE

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

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.