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111TH PHARMA-FAMILY
NPI 1659616175
Clinic/Center - Health Service in Chicago, IL

Active since December 10, 2012
11101 S STATE ST, CHICAGO, IL 60628(708) 503-9845 Get Directions Write a Review

NPPES record last updated: December 10, 2012. 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 1659616175) is a healthcare organization registered as a health service in Chicago, Illinois and active in the NPI registry since December 2012. The organization lists Adele Vanjackson, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1659616175
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business Name111TH PHARMA-FAMILY
Location Address11101 S STATE STChicago, IL 60628-4206
Mailing Address11101 S State StChicago, IL 60628-4206 · (708) 503-9845
Phone(708) 503-9845
Organization SubpartNo
Authorized OfficialAdele VanjacksonOwner/pharmacist · (708) 503-9845
Enumeration DateDecember 10, 2012
✔ NPI 1659616175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in IL · 051035317
11101 S STATE ST, Chicago, IL 60628
Open in Google Maps ↗

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
111TH PHARMA - FAMILY
Pharmacy (Community/Retail Pharmacy)
11101 S STATE ST
CHICAGO, IL 60628
Cook County (773) 785-5192
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
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 1659616175. It was assigned to this organization in the NPPES registry on December 10, 2012.

Where is 111th Pharma-Family located?

111th Pharma-Family is located at 11101 S State St, Chicago, IL 60628. The listed phone number is (708) 503-9845.

What is 111th Pharma-Family's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for 111th Pharma-Family was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.