LUNA PHARMACY LTD NPI 1992049662

NPI Information

NPI: 1992049662
Provider Name: LUNA PHARMACY LTD
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
5352 N LINCOLN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 435-9902
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LUNA PHARMACY LTD 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. LUNA PHARMACY LTD NPI is 1992049662. The provider is registered as an organization entity type.

The provider's business location address is:

5352 N LINCOLN AVE
CHICAGO, IL
ZIP 60625-316
Phone: (773) 435-9902
Fax: (773) 435-9003

The provider's authorized official is Aiman Alanfous .
The authorized official title is President and has the following contact phone number (773) 435-9902.

The enumeration date for this NPI number is 11/19/2012 and was last updated on 7/30/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		054.018025	ILLINOIS	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	054.018025	ILLINOIS	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	054.018025	ILLINOIS	No
4	333600000X	Pharmacy		054.018025	ILLINOIS	No
5	3336C0004X	Pharmacy	Compounding Pharmacy	054.018025	ILLINOIS	No
6	335G00000X	Medical Foods Supplier		054.018025	ILLINOIS	No
7	3336C0003X	Pharmacy	Community/Retail Pharmacy	054.018025	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	ILLINOIS	FEDERAL TAX ID NUMBER
2	=========001	MEDICAID	ILLINOIS
3	1487594	OTHER	ILLINOIS	NCPDP

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

NPI Synchronization or Removal

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