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: August 09, 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
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

Other Names 1

Doing Business AsMini Thuong Xa Pharmacy

Other Identifiers 3

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

Accepted 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

Services this provider delivered to Medicare fee-for-service patients, from the 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.
25 services25 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
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.

Pharmacist
1069 W ARGYLE ST
CHICAGO, IL 60640
Family Medicine
1069 W ARGYLE ST
CHICAGO, IL 60640

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 Mini Thuong Xa Pharmacy Inc's NPI number?

The NPI number for Mini Thuong Xa Pharmacy Inc is 1659425577. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Mini Thuong Xa Pharmacy.

Where is Mini Thuong Xa Pharmacy Inc located?

Mini Thuong Xa Pharmacy Inc is located at 1069 W Argyle St, Chicago, IL 60640. The listed phone number is (773) 728-1007.

What is Mini Thuong Xa Pharmacy Inc's specialty?

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

Does Mini Thuong Xa Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Mini Thuong Xa Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Mini Thuong Xa Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2204065) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mini Thuong Xa Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Mini Thuong Xa Pharmacy Inc 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 Mini Thuong Xa Pharmacy Inc was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.