THE NEW ROSELAND OUTPATIENT PHARMACY
NPI 1619417979
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Q: What is Roseland Community Hospital Association's specialty?

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

Active since March 06, 2017

45 W 111TH ST, CHICAGO, IL 60628(773) 291-1684(773) 291-1685 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2017, Apr 19, 2017, Apr 12, 2017 (3 updates tracked since 2017).

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About The New Roseland Outpatient Pharmacy NPPES

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

THE NEW ROSELAND OUTPATIENT PHARMACY (NPI 1619417979) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since March 2017. The organization lists Marlo Kemp, Cfo, Ao, as its authorized official.

NPPES Registry Identity

NPI1619417979

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameROSELAND COMMUNITY HOSPITAL ASSOCIATION

Location Address45 W 111TH STChicago, IL 60628-4200

Mailing Address45 W 111th StChicago, IL 60628-4200 · (773) 291-1684 · Fax (773) 291-1685

Phone(773) 291-1684

Fax(773) 291-1685

Organization SubpartNo

Authorized OfficialMarlo KempCfo, Ao · (773) 995-6502

Enumeration DateMarch 6, 2017

Last NPPES UpdateMay 26, 20173 updates tracked since enumeration

✔ NPI 1619417979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in IL · 054020279

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

45 W 111TH ST, Chicago, IL 60628

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Other Names 1

Doing Business AsThe New Roseland Outpatient Pharmacy

Other Identifiers 1

Other2167786Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

SHAKIRA AYANLAJA APN

Nurse Practitioner (Family)