CHURCH ST PHARM INC
NPI 1891882080
Pharmacy in Skokie, IL

Active since October 07, 2006
9669 KENTON AVE, SKOKIE, IL 60076(847) 674-5882(847) 674-9824 Get Directions Write a Review

NPPES record last updated: October 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Church St Pharm Inc NPPES

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

CHURCH ST PHARM INC (NPI 1891882080) is a healthcare organization registered as a pharmacy in Skokie, Illinois and active in the NPI registry since October 2006. The organization lists Mark Jacobs, Chief Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1891882080
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCHURCH ST PHARM INC
Location Address9669 KENTON AVESkokie, IL 60076-1266
Mailing Address9669 Kenton AveSkokie, IL 60076-1266
Fax(847) 674-9824
Organization SubpartNo
Authorized OfficialMark JacobsChief Pharmacist · (847) 674-5882
Enumeration DateOctober 7, 2006
Last NPPES UpdateOctober 28, 2009
NPI 1891882080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in IL · 54009433
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
9669 KENTON AVE, Skokie, IL 60076

Other Identifiers 3

Medicare NSC0804280001IL
Other1456284Other Id Number-commercial Number
Medicaid362405956001IL

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
9669 KENTON AVE, SUITE 606
SKOKIE, IL 60076
Surgery
9669 KENTON AVE, SUITE #204
SKOKIE, IL 60076
Internal Medicine
9669 KENTON AVE, SUITE 505
SKOKIE, IL 60076
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9669 KENTON AVE, 602
SKOKIE, IL 60076
Internal Medicine (Gastroenterology)
9669 KENTON AVE, SUITE 306
SKOKIE, IL 60076
Urology
9669 KENTON AVE, SUITE 306
SKOKIE, IL 60076
Internal Medicine
9669 KENTON AVE, SUITE 203
SKOKIE, IL 60076
Internal Medicine (Medical Oncology)
9669 KENTON AVE, SUITE 550
SKOKIE, IL 60076

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 Church St Pharm Inc's NPI number?

The NPI number for Church St Pharm Inc is 1891882080. It was assigned to this organization in the NPPES registry on October 7, 2006.

Where is Church St Pharm Inc located?

Church St Pharm Inc is located at 9669 Kenton Ave, Skokie, IL 60076. The listed phone number is (847) 674-5882.

What is Church St Pharm Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Church St Pharm Inc was last updated on October 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.