Provider Type Icon

SOUTH SIDE PHARMACY INC. NPI 1912944844


NPI Information

NPI: 1912944844
Provider Name: SOUTH SIDE PHARMACY, INC.
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6905 S WENTWORTH AVE
CHICAGO, IL
ZIP 60621
Phone: (773) 723-2500
Get Directions

SOUTH SIDE PHARMACY, 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. SOUTH SIDE PHARMACY, INC. NPI is 1912944844. The provider is registered as an organization entity type.

The provider's business location address is:

6905 S WENTWORTH AVE
CHICAGO, IL
ZIP 60621-734
Phone: (773) 723-2500

The provider's authorized official is Tony Diorio .
The authorized official title is Vice President and has the following contact phone number (815) 834-0020.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/22/2020.


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
13336C0003XPharmacyCommunity/Retail PharmacyILLINOISYes
2333600000XPharmacyILLINOISX

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.