Cordant Pharmacy Illinois, LLC
Pharmacy (Community/Retail Pharmacy)

Address: 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525
Phone: 8722645673

Cordant Pharmacy Illinois, LLC (NPI# 1952909632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1952909632
Entity Type Organization
Organization Name CORDANT PHARMACY ILLINOIS, LLC
Practice Address 8623 W Bryn Mawr Ave Ste 504
Chicago
IL 60631-3525
Practice Telephone 8722645673
Mailing Address 1620 W Northwest Hwy Ste 100
Grapevine
TX 76051-3219
Authorized Official Name Fara Tippit (EXECUTIVE ASSISTANT)
Authorized Official Telephone 7202723535
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name CORDANT PHARMACY ILLINOIS, LLC
Enumeration Date 2020-10-14
Last Update Date 2020-10-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3336C0003X Pharmacy · Community/Retail Pharmacy Suppliers

Other Provider Identifier

State Identifier Issuer Type Code
IL 054.021576 OTHER ILLINOIS BOARD OF PHARMACY

Other Provider/Organization Names

Other Name Type Code
Cordant Pharmacy Solutions #R118 Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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Office Location

Street Address 8623 W BRYN MAWR AVE STE 504
City CHICAGO
State IL
Zip Code 60631-3525

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427686609 Martha Agnes Bissing Student in an Organized Health Care Education/Training Program Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 2020-04-01
1497383434 Kathryn Lee Hughes Student in an Organized Health Care Education/Training Program 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 2020-03-27
1245723121 Thomas Walsh Student in an Organized Health Care Education/Training Program Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 2018-06-14
1912411893 Briggs Therapy Group, LLC Social Worker 6645 N Oliphant Ave Ste F, Chicago, IL 60631 2017-11-29
1013467257 Elsa Methipara Nurse Practitioner 6429 N Ogallah, Chicago, IL 60631 2016-10-12
1477001766 Djje Holdings LLC Psychologist 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 2016-09-14
1538512884 Sprout Pediatric Dentistry Dentist 6036 North Northwest Highway, Chicago, IL 60631 2016-07-21
1417305137 Christopher Louis Scodeller Emergency Medicine 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 2016-06-03
1518315464 Corbin Barwegen Emergency Medicine 7435 W. Talcott Ave., Chicago, IL 60631 2016-06-01
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Competitor

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City CHICAGO
Zip Code 60631

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.