Organization
200 PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERMAN WHITE RPH (REG PHARMACIST AND VP)
(773) 374-4550
Entity
Organization
Contact information
Practice address
9133 S STONY ISLAND AVE, CHICAGO, IL 60617-3512
(773) 374-4550
(773) 374-4660
Mailing address
9133 S STONY ISLAND AVE, CHICAGO, IL 60617-3512
(773) 374-4550
(773) 374-4660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
051032504
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1445178
OTHER ID NUMBER
—
Enumeration date
08/02/2005
Last updated
05/23/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up