MILLENIUM PHARMACY LTD NPI 1689163503

NPI Details

MILLENIUM PHARMACY LTD is a community/retail pharmacy pharmacy in Chicago 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. MILLENIUM PHARMACY LTD NPI is 1689163503. The provider is registered as an organization entity type.
The provider Is Doing Business As Millennium Pharmacy.

The provider's business location address is:

10604 SOUTHWEST HIGHWAY
SUITE 102
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 930-5393
Fax: (708) 529-3593

The provider's authorized official is Ahmed Mahafzah .
The authorized official title is Pharmacist In Charge/owber and has the following contact phone number (708) 930-5393.

The CLIA number assigned to this NPI record is 14D2251100 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)

The enumeration date for this NPI number is 5/7/2018 and was last updated on 4/30/2019.

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: