MEDCENTRIX INC
NPI 1275101164
Pharmacy - Home Infusion Therapy Pharmacy in Chicago, IL

NPI Status: Active since June 16, 2021

Contact Information

5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
Phone: (773) 834-5601
Fax: (773) 702-6631

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  • Organization
  • Pharmacy
  • Home Infusion Therapy Pharmacy

About MEDCENTRIX INC

This page provides the complete NPI Profile along with additional information for Medcentrix Inc, a provider established in Chicago, Illinois operating as a Pharmacy, focusing in home infusion therapy pharmacy . The healthcare provider is registered in the NPI registry with number 1275101164 assigned on June 2021. The practitioner's primary taxonomy code is 3336H0001X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Randy Neiswonger (Interim President)

NPI
1275101164
Provider Name
MEDCENTRIX INC
Entity Type
Organization
Location Address
5841 S MARYLAND AVE CHICAGO, IL 60637
Location Phone
(773) 834-5601
Location Fax
(773) 702-6631
Mailing Address
5841 S MARYLAND AVE CHICAGO, IL 60637
Mailing Phone
(773) 834-5601
Mailing Fax
(773) 702-6631
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2021
Last Update Date
06-16-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Home Infusion Therapy Pharmacy

Taxonomy Code
3336H0001X
Type
Suppliers
Taxonomy Description
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDY NEISWONGER

Authorized Official Title
INTERIM PRESIDENT
Authorized Official Phone
(708) 915-6111

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275101164
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145202112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 2 + 0 + 2 + 1 + 1 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1275101164 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275527848DR. ADAM BUCHANAN COCHRANE PHARM.D., BCPS
Individual
Pharmacist (Pharmacotherapy)5841 S MARYLAND AVE MC 5026
CHICAGO, IL 60637
(773) 702-3583
1609861848MRS. VINAY KUMARI GARG
Individual
Dietitian, Registered5841 S MARYLAND AVE
CHICAGO, IL 60637
(773) 702-8165
1275528499 THOMAS L FISHER JR. MD., M.P.H
Individual
Emergency Medicine5841 S MARYLAND AVE
CHICAGO, IL 60637
(773) 702-9501
1649261546 LINDA MARIE NAHLIK R.PH.
Individual
Pharmacist (Pharmacotherapy)5841 S MARYLAND AVE UNIVERSITY OF CHICAGO HOSPITALS
CHICAGO, IL 60637
(773) 834-2017
1396723391 HEATHER M MACLEOD MS
Individual
Genetic Counselor, MS5841 S MARYLAND AVE MC 6088
CHICAGO, IL 60637
(773) 702-4310
1558333807 RACHELLE J LORENZ M.S.
Individual
Genetic Counselor, MS5841 S MARYLAND AVE MC 0077
CHICAGO, IL 60637
(773) 834-9801
1568426658DR. MARCO G. PATTI MD
Individual
Surgery5841 S MARYLAND AVE MC 5031
CHICAGO, IL 60637
(773) 702-4865
1346292380 TRISHA RABIDOUX RD, LDN
Individual
Dietitian, Registered5841 S MARYLAND AVE MC 0988
CHICAGO, IL 60637
(773) 702-3867
1336193671DR. REBECCA LYNN BROWN M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5841 S MARYLAND AVE MC1027
CHICAGO, IL 60637
(773) 702-1000
1205883444DR. JERRY KRISHNAN M.D., PHD.
Individual
Internal Medicine (Pulmonary Disease)5841 S MARYLAND AVE
CHICAGO, IL 60637
(773) 702-2274
1932145802DR. MARION S. VERP M.D.
Individual
Obstetrics & Gynecology (Gynecology)5841 S MARYLAND AVE MC2050
CHICAGO, IL 60637
(773) 702-6127
1609802107DR. BASHARAT BUCHH MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5841 S MARYLAND AVE MC 6060
CHICAGO, IL 60637
(773) 702-6210
1336178763DR. ARTHUR FRANCIS HANEY MD
Individual
Obstetrics & Gynecology (Reproductive Endocrinology)5841 S MARYLAND AVE MC2050
CHICAGO, IL 60637
(773) 702-9200
1881625697 KEME HEAVEN CARTER M.D.
Individual
Emergency Medicine5841 S MARYLAND AVE MC 5068
CHICAGO, IL 60637
(773) 702-9500
1043241839 MARY KRYSTOFIAK RUSSELL RD
Individual
Dietitian, Registered5841 S MARYLAND AVE MC 0988
CHICAGO, IL 60637
(773) 770-2150
1952334781DR. LISA M SHAH M.D.
Individual
Internal Medicine5841 S MARYLAND AVE
CHICAGO, IL 60637
(773) 702-1000
1245263383 ANNETTE C BOOGERD
Individual
Dietitian, Registered5841 S MARYLAND AVE MC 3051
CHICAGO, IL 60637
(773) 702-5013
1962435263MRS. EMILY NICOLE LISCIANDRO MS, RD, LDN
Individual
Dietitian, Registered (Nutrition, Pediatric)5841 S MARYLAND AVE MC0988
CHICAGO, IL 60637
(773) 702-0551
1104843788 SEEMA S LIMAYE MD
Individual
Internal Medicine5841 S MARYLAND AVE DEPARTMENT OF MEDICINE, (MC6098)
CHICAGO, IL 60637
(773) 702-6459
1588682330 CONSTANCE N DROSSOS PH.D.
Individual
Psychologist (Clinical)5841 S MARYLAND AVE STE MC 3077
CHICAGO, IL 60637
(773) 702-2995

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275101164, enumerated in the NPI registry as an "organization" on June 16, 2021

The provider is located at 5841 S Maryland Ave Chicago, Il 60637 and the phone number is (773) 834-5601

This medical organization specializes in Pharmacy with taxonomy code 3336H0001X with a focus in Home Infusion Therapy Pharmacy

This NPI record was last updated on June 16, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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