=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891740288
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SINGER PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2006
-----------------------------------------------------
Last Update Date | 04/09/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6213 W BELMONT AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60634-4019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-622-2331
-----------------------------------------------------
Fax | 773-622-3635
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6213 W BELMONT AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60634-4019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-622-2331
-----------------------------------------------------
Fax | 773-622-3635
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. HOWARD BLEICHMAN
-----------------------------------------------------
Credential | PHARMACIST
-----------------------------------------------------
Telephone | 773-622-2331
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------