Medical Arts Pharmacy

LBN: Simsum Inc
Medical Arts Pharmacy is an health care organization with primary practice located at 625 Bethany Rd Ste 2 , Dekalb IL 60115-4908. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Simsum Inc can be contacted via phone (815) 758-3100, or through Smulkaitis, Joseph via phone (815) 758-3100.

Contact Information

Primary practice address
625 Bethany Rd Ste 2 Dekalb IL 60115-4908
Phone: (815) 758-3100
Fax: (815) 758-3105
Website:
Map and Directions
Authorized official contact:
Name: Smulkaitis, Joseph
Phone: (815) 758-3100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054034923 Illinois

Profile Details

NPI number 1285660910
LBN Legal business name Simsum Inc
DBA Doing business as Medical Arts Pharmacy
Authorized official Smulkaitis, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Jun 1st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285660910 NPPES
Other 1475842 NCPDP PROVIDER IDENTIFICATION NUMBER

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