UNIVERSITY OF ILLINOIS TAYLOR STREET EEI PHARMACY – NPI #1336289016
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

UNIVERSITY OF ILLINOIS TAYLOR STREET EEI PHARMACY is a pharmacy located in CHICAGO, IL. NPPES has assigned the NPI number 1336289016 to UNIVERSITY OF ILLINOIS TAYLOR STREET EEI PHARMACY on February 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UNIVERSITY OF ILLINOIS TAYLOR STREET EEI PHARMACY” is a dba name, the actual legal business name for this organization is UNIVERSITY OF ILLINOIS SCB PHARMACY. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

The NPI profile was previously updated about 3 years ago on Apr 20, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNIVERSITY OF ILLINOIS TAYLOR STREET EEI PHARMACY below.

NPI Profile for
UNIVERSITY OF ILLINOIS SCB PHARMACY

NPI Number
1336289016
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSITY OF ILLINOIS SCB PHARMACY
Doing Business As (dba): UNIVERSITY OF ILLINOIS TAYLOR STREET EEI PHARMACY
Primary location
1009 S WOOD ST
ROOM 1025 MC 874
CHICAGO, IL 60612
Phone: (312) 996-6540 Fax: (312) 276-4800
Mailing address
833 S WOOD ST
ROOM 161 MC 874
CHICAGO, IL 60612-4325
Phone: (312) 355-2035 Fax: (312) 276-4800
Organization Subpart
Yes - UNIVERSITY OF ILLINOIS TAYLOR STREET EEI PHARMACY is subpart of another organization.
Authorized Official
KRISTINE HAYES
PHARMACY TECHNICIAN SPECIALIST
Phone: (312) 355-2035
Updated
Certification Date
Apr 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for UNIVERSITY OF ILLINOIS TAYLOR STREET EEI PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNCPDP NUMBERIL1464205
otherSTATE CONTROLLED SUBSTANCIL032-005937
otherSTATE PHARMACY LICENSEIL054-017117
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)
IL 054.017117

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.