Healthcare Provider Details

I. General information

NPI: 1093720633
Provider Name (Legal Business Name): BASINGERS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2219 W JEFFERSON ST
JOLIET IL
60435-6511
US

IV. Provider business mailing address

2219 W JEFFERSON ST
JOLIET IL
60435-6511
US

V. Phone/Fax

Practice location:
  • Phone: 815-725-1102
  • Fax: 815-725-7500
Mailing address:
  • Phone: 815-725-1102
  • Fax: 815-725-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054009648
License Number StateIL

VIII. Authorized Official

Name: HARISH BHATT
Title or Position: PRESIDENT
Credential:
Phone: 815-725-1102