NPI 1184923260 · live from the CMS NPI Registry
Adventist Bolingbrook Hospital
Pharmacy, Community/Retail Pharmacy in Bolingbrook, IL. National Provider Identifier 1184923260, active.
NPI record
| NPI | 1184923260 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 500 Remington Blvd, Bolingbrook, IL 60440 |
| Practice phone | 630-312-3970 |
| Enumerated | March 15, 2011 |
| Last updated | November 8, 2024 |
| Authorized official | Tristan Shaw, Chief Financial Officer |
| Other names | Uchicago Medicine Adventhealth Pharmacy Bolingbrook |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 054-017593 (IL) |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.