Organization
CONNEYS ELM STREET PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JACOBS (PHARMACIST AND OWNER)
(847) 446-0032
Entity
Organization
Contact information
Practice address
736 ELM ST, WINNETKA, IL 60093-2506
(847) 446-3335
(847) 446-1574
Mailing address
736 ELM ST, WINNETKA, IL 60093-2506
(847) 446-0032
(847) 446-1574
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054013973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1428564
OTHER ID NUMBER
—
Enumeration date
07/30/2006
Last updated
12/06/2011
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