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MINI THUONG XA PHARMACY
NPI 1659425577
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since January 22, 2007CLIA 14D2204065 · Waiver
1069 W ARGYLE ST, CHICAGO, IL 60640(773) 728-1007(773) 728-7267 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mini Thuong Xa Pharmacy NPPES

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

MINI THUONG XA PHARMACY (NPI 1659425577) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Nam Pham, President, as its authorized official.

NPPES Registry Identity

NPI1659425577
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMINI THUONG XA PHARMACY INC
Location Address1069 W ARGYLE STChicago, IL 60640-3707
Mailing AddressPo Box 408975Chicago, IL 60640-0023 · (773) 728-1007 · Fax (773) 728-7267
Phone(773) 728-1007
Fax(773) 728-7267
Organization SubpartNo
Authorized OfficialNam PhamPresident · (773) 230-2699
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 17, 2015
✔ NPI 1659425577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IL · 054009321
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1069 W ARGYLE ST, Chicago, IL 60640
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Other Names 1

Doing Business AsMini Thuong Xa Pharmacy

Other Identifiers 3

Medicare NSC4519050001
Other2022077Pk
Medicaid=========001IL

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2204065

Mini Thuong Xa Pharmacy Inc · Chicago, IL
Active · expires Dec 7, 2026
CLIA Number14D2204065
Laboratory TypePharmacy
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorThoa N. Bui
Laboratory Phone(773) 728-1007
Laboratory LocationMini Thuong Xa Pharmacy Inc1069 W Argyle St, Chicago, IL 60640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
45 services45 patients
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 90686
The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.
26 services26 patients
Influenza vaccine, quadrivalent, 0.5 ml dosage 90688
The Influenza vaccine, quadrivalent, 0.5 ml dosage, is a flu shot to protect against four strains of the flu virus. It's given as a small injection, typically in the arm, to help your body build immunity and fight off potential flu infections.
19 services19 patients

Medical Equipment Supplier Medicare DMEPOS 34

Medicare supplier enrollment and the product categories Mini Thuong Xa Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Mini Thuong Xa Pharmacy Inc

DMEPOS supplier · Chicago, IL
⋮

Does not accept Medicare assignment

Mini Thuong Xa Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20605547
Medicare Participant SinceMay 21, 2002
Supplier Location1069 W Argyle StChicago, IL 60640
Phone(773) 728-1007
Provider TypeOxygen & Equipment
Supplier Specialties
Orthotic Personnel Pharmacy

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Infrared Heating Pads Systems and/or Supplies
Infrared Heating Pad Systems, Replacement Pads
Insulin Infusion Pumps and/or Supplies
Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

AW PHYSICAL REHAB, LTD.
Family Medicine
1069 W ARGYLE ST
CHICAGO, IL 60640
Cook County (773) 728-7022
THOA N BUI
Pharmacist
1069 W ARGYLE ST
CHICAGO, IL 60640
Cook County (773) 728-1007

Frequently Asked Questions

What is MINI THUONG XA PHARMACY INC's NPI number?

The NPI number assigned to this healthcare provider is 1659425577, enumerated as an "organization" on January 22, 2007.

Where is the provider located?

The provider is located at 1069 W ARGYLE ST CHICAGO, IL 60640 and the phone number is (773) 728-1007.

What is the provider's specialty?

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

What insurance does MINI THUONG XA PHARMACY INC accept?

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