Healthcare Provider Details

I. General information

NPI: 1336576792
Provider Name (Legal Business Name): APOTHECO PHARMACY BARRINGTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 W LAKE ST STE 302
ADDISON IL
60101-2586
US

IV. Provider business mailing address

788 MORRIS TPKE FL 3
SHORT HILLS NJ
07078-2637
US

V. Phone/Fax

Practice location:
  • Phone: 630-458-8880
  • Fax: 630-458-8882
Mailing address:
  • Phone: 973-869-2820
  • Fax: 973-869-2822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2142299
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: ANUSH AMIN
Title or Position: OFFICER & PRESIDENT
Credential:
Phone: 973-869-2820