FANTUS HEALTH CENTER PHARMACY
NPI 1013035781
Pharmacy - Clinic Pharmacy in Chicago, IL
NPI Status: Active since March 27, 2007
Contact Information
1901 W HARRISON ST
CHICAGO, IL
ZIP 60612
Phone: (312) 864-6189
Fax: (312) 864-9288
- Organization
- Pharmacy
- Clinic Pharmacy
- CLIA Number: 14D0676804
- CLIA Cert. Type: Other - JUVENILE DETENTION
- CLIA Exp. Date: 04-30-2027
About FANTUS HEALTH CENTER PHARMACY
This page provides the complete NPI Profile along with additional information for Fantus Health Center Pharmacy, a provider established in Chicago, Illinois operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1013035781 assigned on March 2007. The practitioner's primary taxonomy code is 3336C0002X with license number 054014914 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Fantus Health Center Pharmacy. The authorized official of this NPI record is John Busker (Assistant Director Of Pharmacy)
- NPI
- 1013035781
- Provider Legal Name
- COOK COUNTY
- Other Organization Name
- FANTUS HEALTH CENTER PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1901 W HARRISON ST CHICAGO, IL 60612
- Location Phone
- (312) 864-6189
- Location Fax
- (312) 864-9288
- Mailing Address
- 1901 W HARRISON ST CHICAGO, IL 60612
- Mailing Phone
- (312) 864-6189
- Mailing Fax
- (312) 864-9288
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-27-2007
- Last Update Date
- 04-25-2016
- Code Navigator
Location Map
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 Clinic Pharmacy
- Taxonomy Code
- 3336C0002X
- Type
- Suppliers
- License No.
- 054014914
- License State
- IL
- Taxonomy Description
- A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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.
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 |
|---|---|---|---|
| =========068 | MEDICAID (05) | IL | |
| 2021374 | OTHER (01) | PK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0676804
- Facility Type
- Other - JUVENILE DETENTION
- Certificate Effective Date
- May 01, 2025
- Certificate Expiration Date
- April 30, 2027
- Laboratory Director
- KENNETHY SOYEMI M D
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Fantus Health Center Pharmacy in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013035781, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013035781, enumerated as an "organization" on March 27, 2007.
The provider is located at 1901 W HARRISON ST CHICAGO, IL 60612 and the phone number is (312) 864-6189.
Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
