PHARMACY
NPI 1407563828
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since November 04, 2022
2875 W. 19TH STREET, PHARMACY DEPARTMENT, CHICAGO, IL 60623(773) 484-1000 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2022, Nov 4, 2022 (2 updates tracked since 2022).

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About PHARMACY

This page provides the complete NPI Profile along with additional information for Pharmacy, a provider established in Chicago, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1407563828 assigned on November 2022. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Pharmacy. The authorized official of this NPI record is Guy Medaglia (President & Ceo)

NPI
1407563828 Verify this NPI
Provider Legal Name
SAINT ANTHONY PHARMACY
Other Organization Name
PHARMACY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2875 W. 19TH STREET PHARMACY DEPARTMENT CHICAGO, IL 60623
Location Phone
(773) 484-1000
Mailing Address
2001 S CALIFORNIA AVE CHICAGO, IL 60608
Mailing Phone
(773) 484-4783
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2022
Last Update Date
12-14-2022
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

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)
1333600000XSuppliers

Pharmacy

 

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

GUY MEDAGLIA

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(773) 484-4783

Reviews for PHARMACY

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Advanced Practice Midwife
2875 W. 19TH STREET
CHICAGO, IL 60623
Student in an Organized Health Care Education/Training Program
2875 W. 19TH STREET, ST. ANTHONY HOSPITAL
CHICAGO, IL 60623
Speech-Language Pathologist
2875 W. 19TH STREET
CHICAGO, IL 60623
Pharmacy (Community/Retail Pharmacy)
2875 W. 19TH STREET
CHICAGO, IL 60623

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407563828, enumerated as an "organization" on November 04, 2022.

The provider is located at 2875 W. 19TH STREET PHARMACY DEPARTMENT CHICAGO, IL 60623 and the phone number is (773) 484-1000.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.