LOYOLA UNIVERSITY MEDICAL CENTER
NPI 1104462126
Pharmacy - Community/Retail Pharmacy in Maywood, IL

Active since November 25, 2019
2160 S 1ST AVE RM 150-1610, MAYWOOD, IL 60153(708) 216-3743 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loyola University Medical Center NPPES

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

LOYOLA UNIVERSITY MEDICAL CENTER (NPI 1104462126), doing business as Loyola Outpatient Center, is a healthcare organization registered as a community/retail pharmacy in Maywood, Illinois and active in the NPI registry since November 2019. The organization lists Adenrele Adekunbi Kolawole, Director Billing Operations, as its authorized official.

NPPES Registry Identity

NPI1104462126
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLOYOLA UNIVERSITY MEDICAL CENTER
Location Address2160 S 1ST AVE RM 150-1610Maywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-3743
Organization SubpartYes
Authorized OfficialAdenrele Adekunbi KolawoleDirector Billing Operations · (708) 216-3743
Enumeration DateNovember 25, 2019
NPI 1104462126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedPharmacyTaxonomy 333600000X
2160 S 1ST AVE RM 150-1610, Maywood, IL 60153

Other Names 1

Doing Business AsLoyola Outpatient Center

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Loyola Outpatient Center carries, from the Medicare DMEPOS supplier directory.

Loyola Outpatient Center

DMEPOS supplier · Maywood, ILOperated by Loyola University Medical Center

Accepts Medicare assignment

Loyola Outpatient Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20636039
Medicare Participant SinceOctober 1, 1998
Supplier Location2160 S 1st Ave Bldg 150 Rm 1600Maywood, IL 60153
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loyola University Medical Center's NPI number?

The NPI number for Loyola University Medical Center is 1104462126. It was assigned to this organization in the NPPES registry on November 25, 2019. The provider is doing business as Loyola Outpatient Center.

Where is Loyola University Medical Center located?

Loyola University Medical Center is located at 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153. The listed phone number is (708) 216-3743.

What is Loyola University Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Loyola University Medical Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Loyola Outpatient Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Loyola University Medical Center accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 24 other insurers list Loyola University Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Loyola University Medical Center was last updated on November 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.