CHURCH ST PHARM INC
NPI 1891882080
Pharmacy in Skokie, IL

NPI Status: Active since October 07, 2006

Contact Information

9669 KENTON AVE
SKOKIE, IL
ZIP 60076
Phone: (847) 674-5882
Fax: (847) 674-9824

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  • Organization
  • Pharmacy

About CHURCH ST PHARM INC

This page provides the complete NPI Profile along with additional information for Church St Pharm Inc, a provider established in Skokie, Illinois operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1891882080 assigned on October 2006. The practitioner's primary taxonomy code is 333600000X with license number 54009433 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mark Jacobs Rph (Chief Pharmacist)

NPI
1891882080
Provider Name
CHURCH ST PHARM INC
Entity Type
Organization
Location Address
9669 KENTON AVE SKOKIE, IL 60076
Location Phone
(847) 674-5882
Location Fax
(847) 674-9824
Mailing Address
9669 KENTON AVE SKOKIE, IL 60076
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2006
Last Update Date
10-28-2009
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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

Taxonomy Code
333600000X
Type
Suppliers
License No.
54009433
License State
IL
Taxonomy Description
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.

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)
13336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARK JACOBS RPH

Authorized Official Title
CHIEF PHARMACIST
Authorized Official Phone
(847) 674-5882

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0804280001MEDICARE NSC (07)IL 
1456284OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
362405956001MEDICAID (05)IL 

Reviews for CHURCH ST PHARM INC

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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.
1891882080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281811684016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 1 + 6 + 8 + 4 + 0 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1891882080 is valid because the calculated check digit 0 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
1639165871DR. CAROL LADERMAN M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)9669 KENTON AVE SUITE 606
SKOKIE, IL 60076
(847) 840-5325
1386630366DR. JOSE M VELASCO M.D.
Individual
Surgery9669 KENTON AVE SUITE #204
SKOKIE, IL 60076
(847) 982-1095
1851389266 SUSAN K BURROWES M.D.
Individual
Internal Medicine9669 KENTON AVE SUITE 505
SKOKIE, IL 60076
(847) 675-8707
1366470015CHARLES H. SCHIKMAN M.D.S.C.
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)9669 KENTON AVE 602
SKOKIE, IL 60076
(847) 676-2877
1215961289DR. JAN H. FAIBISOFF M.D.
Individual
Internal Medicine (Gastroenterology)9669 KENTON AVE SUITE 306
SKOKIE, IL 60076
(847) 674-7501
1568482214 ISRAEL BERGER M.D.
Individual
Urology9669 KENTON AVE SUITE 306
SKOKIE, IL 60076
(847) 329-0900
1679580039DR. JEFFREY ALLEN GRINBLATT MD
Individual
Internal Medicine9669 KENTON AVE SUITE 203
SKOKIE, IL 60076
(847) 677-0212
1326129792 STEVEN A SANDLER MD
Individual
Internal Medicine (Medical Oncology)9669 KENTON AVE SUITE 550
SKOKIE, IL 60076
(847) 933-0875
1245313964 CATHERINE H DILLON MD
Individual
Obstetrics & Gynecology9669 KENTON AVE SUITE 550
SKOKIE, IL 60076
(847) 933-1773
1902968050DR. JANICE LUPU M.D.
Individual
Internal Medicine9669 KENTON AVE SUITE 300
SKOKIE, IL 60076
(847) 677-4200
1891851598URO CENTER LTD
Organization
Urology9669 KENTON AVE SUITE 306
SKOKIE, IL 60076
(847) 329-0900
1386782308 URSULA T. FROMM BC-HIS
Individual
Hearing Instrument Specialist9669 KENTON AVE SUITE 605
SKOKIE, IL 60076
(847) 675-4201
1679600738DILLON & SHAW, MD,SC
Organization
Obstetrics & Gynecology9669 KENTON AVE SUITE 550
SKOKIE, IL 60076
(847) 933-3956
1912195298DR. ELIZABETH WOOSTER CALIHAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)9669 KENTON AVE SUITE 209
SKOKIE, IL 60076
(847) 622-5333
1811186471JOSE M VELASCO MD
Organization
Surgery9669 KENTON AVE SUITE 204
SKOKIE, IL 60076
(847) 982-1095
1013199926 ANTOINETTE V AHR
Individual
Nurse Practitioner9669 KENTON AVE SUITE 206
SKOKIE, IL 60076
(847) 676-1333
1558549931NORTH SHORE MEDICINE S C
Organization
Internal Medicine9669 KENTON AVE SUITE 606
SKOKIE, IL 60076
(847) 674-4090
1306083167MS. PATRICIA ANN KOWALCZYK RD, CDE
Individual
Dietitian, Registered9669 KENTON AVE
SKOKIE, IL 60076
(224) 612-2500
1083841308ALAN J. CAMIN, M.D.S.C.
Organization
Family Medicine9669 KENTON AVE STE. 602
SKOKIE, IL 60076
(847) 677-0550
1912216847MR. JOEL C DYKSTRA PT
Individual
Physical Therapist (Orthopedic)9669 KENTON AVE
SKOKIE, IL 60076
(847) 933-3810

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891882080, enumerated in the NPI registry as an "organization" on October 07, 2006

The provider is located at 9669 Kenton Ave Skokie, Il 60076 and the phone number is (847) 674-5882

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 07, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.