DOD GREAT LAKES BURKEY MALL EPHCY
NPI 1043625981
Military/U.S. Coast Guard Pharmacy in North Chicago, IL

Active since June 30, 2014
2630 GREEN BAY RD BLDG 3452, NORTH CHICAGO, IL 60088(847) 688-2772(847) 688-2805 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dod Great Lakes Burkey Mall Ephcy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOD GREAT LAKES BURKEY MALL EPHCY (NPI 1043625981) is a healthcare organization registered as a military/u.s. coast guard pharmacy in North Chicago, Illinois and active in the NPI registry since June 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1043625981
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business NameJAMES A LOVELL FHCC
Location Address2630 GREEN BAY RD BLDG 3452North Chicago, IL 60088-3303
Mailing AddressPo Box 322, James A Lovell FhccNorth Chicago, IL 60064 · (224) 610-4232
Fax(847) 688-2805
Organization SubpartNo
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateJune 30, 2014
Last NPPES UpdateNovember 24, 2015
NPI 1043625981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary/U.S. Coast Guard PharmacySuppliers
Taxonomy Code332000000X
Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.

2630 GREEN BAY RD BLDG 3452, North Chicago, IL 60088

Other Names 1

Doing Business AsDod Great Lakes Burkey Mall Ephcy

Other Identifiers 1

Other2146521Pk

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043625981, enumerated as an "organization" on June 30, 2014.

The provider is located at 2630 GREEN BAY RD BLDG 3452 NORTH CHICAGO, IL 60088 and the phone number is (847) 688-2772.

Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.