EDISON MEDICAL PHARMACY
NPI 1821166067
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since December 04, 2006
4240 W MADISON ST, CHICAGO, IL 60624(773) 533-2535(773) 533-2535 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edison Medical Pharmacy NPPES

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

EDISON MEDICAL PHARMACY (NPI 1821166067) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since December 2006. The organization lists Pravinchandra Shah, Rphowner, as its authorized official.

NPPES Registry Identity

NPI1821166067
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEDISON MEDICAL PHARMACY INC
Location Address4240 W MADISON STChicago, IL 60624-2288
Mailing Address4240 W Madison StChicago, IL 60624-2288 · (773) 533-2535 · Fax (773) 533-2535
Fax(773) 533-2535
Organization SubpartNo
Authorized OfficialPravinchandra ShahRphowner · (773) 533-2535
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 13, 2015
NPI 1821166067 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 · 054009337
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
4240 W MADISON ST, Chicago, IL 60624

Other Names 1

Doing Business AsEdison Medical Pharmacy

Other Identifiers 2

Other2020547Pk
Medicaid=========001IL

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 Edison Medical Pharmacy Inc's NPI number?

The NPI number for Edison Medical Pharmacy Inc is 1821166067. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Edison Medical Pharmacy.

Where is Edison Medical Pharmacy Inc located?

Edison Medical Pharmacy Inc is located at 4240 W Madison St, Chicago, IL 60624. The listed phone number is (773) 533-2535.

What is Edison Medical Pharmacy Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Edison Medical Pharmacy Inc was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.