Healthcare Provider Details

I. General information

NPI: 1720945801
Provider Name (Legal Business Name): JAVIER NAVARRETE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 N CLARK ST
CHICAGO IL
60640-1210
US

IV. Provider business mailing address

5440 N CLARK ST
CHICAGO IL
60640-1210
US

V. Phone/Fax

Practice location:
  • Phone: 773-596-5022
  • Fax: 773-506-3837
Mailing address:
  • Phone: 773-596-5022
  • Fax: 773-506-3837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.307857
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: