Organization
87TH & HARLEM CRESCENT PHARMACY INC
Active
Other names
CRESCENT PHARMACY, Crescent Pharmacy In Bridgeview
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD TAHA (PIC)
(708) 598-0505
Entity
Organization
Contact information
Practice address
7261 W 87TH ST, BRIDGEVIEW, IL 60455-1821
(708) 598-0505
(708) 598-0606
Mailing address
7261 W 87TH ST, BRIDGEVIEW, IL 60455-1821
(708) 598-0505
(708) 598-0606
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016428
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1481883
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
262023011001
—
IL
Enumeration date
04/22/2008
Last updated
07/11/2024
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