MEDICARE: VIVEK PHARMACY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	054011268	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1462908	OTHER	IL	NABP NUMBER

General Provider Information

NPI Number	:	1396813408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVEK PHARMACY, INC.

Provider Business Mailing Address
First Line	:	300 E PERSHING RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-2204
Country	:	US
Telephone Number	:	773-548-3133
Fax Number	:	773-751-5099

Provider Business Practice Location Address
First Line	:	300 E PERSHING RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-2204
Country	:	US
Telephone Number	:	773-548-3133
Fax Number	:	773-913-2335

Authorized Official
Title or Position	:	OWNER
Name	:	BANKIM DESAI
Credential	:
Telephone Number	:	773-548-3133

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	02/24/2020

Similar Medicare Providers

1467527333 — DR. BHARATKUMAR I NAIK M.D.
Practice Location Address:

300 E PERSHING RD
CHICAGO, IL
60653-2204

Practice Phone: 773-548-3131
Practice Fax: 773-751-5099

1588979660 — BHARAT NAIK M D S C
Practice Location Address:

300 E PERSHING RD
CHICAGO, IL
60653-2204

Practice Phone: 773-548-3131
Practice Fax: 773-751-5099

1326038738 — WEST TOWN DENTAL GROUP
Practice Location Address:

1229 N ASHLAND AVE
CHICAGO, IL
60622-2204

Practice Phone: 773-252-5772
Practice Fax: 773-278-0543

1053301465 — SABAH H KHALIFA DDS
Practice Location Address:

1229 N ASHLAND AVE
CHICAGO, IL
60622-2204

Practice Phone: 773-252-5772
Practice Fax: 773-278-0543

1740270156 — DR. MARIA KAAKAJI DDS
Practice Location Address:

1229 N ASHLAND AVE
CHICAGO, IL
60622-2204

Practice Phone: 773-252-5772
Practice Fax: 773-278-5043

1457476285 — MS. JACQUELINE JENSEN OTR L
Practice Location Address:

500 W SUPERIOR ST , #2204
CHICAGO, IL
60654-8132

Practice Phone: 773-738-6365
Practice Fax:

Directions to “VIVEK PHARMACY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.