1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Pharmacy
  6. NPI Profile

111TH PHARMA FAMILY
NPI 1255415386
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since October 25, 2006
11101 S STATE ST, CHICAGO, IL 60628(773) 785-5192(773) 821-6970 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 111th Pharma Family NPPES

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

111TH PHARMA FAMILY (NPI 1255415386) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since October 2006. The organization lists Adele Vanjackson, Pic, as its authorized official.

NPPES Registry Identity

NPI1255415386
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name111TH PHARMA - FAMILY
Location Address11101 S STATE STChicago, IL 60628-4206
Mailing Address11101 S State StChicago, IL 60628-4206 · (773) 785-5192 · Fax (773) 821-6970
Phone(773) 785-5192
Fax(773) 821-6970
Organization SubpartNo
Authorized OfficialAdele VanjacksonPic · (773) 785-5192
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1255415386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IL · 054018137
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.
11101 S STATE ST, Chicago, IL 60628
Open in Google Maps ↗

Other Names 1

Doing Business As111th Pharma Family

Other Identifiers 1

Other2141774Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PB SALES MD RM SALES MD & ASSOCIATES SC
Family Medicine
11101 S STATE ST
CHICAGO, IL 60628
Cook County (773) 821-7515
INSTANT MEDCARE INC
Internal Medicine
11101 S STATE ST
CHICAGO, IL 60628
Cook County (773) 928-6777
PRIMARY CARE PLUS LTD
Clinic/Center (Multi-Specialty)
11101 S STATE ST
CHICAGO, IL 60628
Cook County (773) 814-8300
STAR MEDCARE GROUP LLC
Internal Medicine
11101 S STATE ST
CHICAGO, IL 60628
Cook County (630) 730-2159
REMEDIOS M SALES MD
Family Medicine
11101 S STATE ST
CHICAGO, IL 60628
Cook County (773) 821-7515
111TH PHARMA-FAMILY
Clinic/Center (Health Service)
11101 S STATE ST
CHICAGO, IL 60628
Cook County (708) 503-9845
PASCUAL BAQUIRAN SALES MD
Surgery
11101 S STATE ST
CHICAGO, IL 60628
Cook County (773) 821-7515

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 111th Pharma - Family's NPI number?

The NPI number for 111th Pharma - Family is 1255415386. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as 111th Pharma Family.

Where is 111th Pharma - Family located?

111th Pharma - Family is located at 11101 S State St, Chicago, IL 60628. The listed phone number is (773) 785-5192.

What is 111th Pharma - Family's specialty?

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

What insurance does 111th Pharma - Family accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 35 other insurers list 111th Pharma - Family 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 111th Pharma - Family was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.