NORTHSHORE UNIVERSITY HEALTHSYSTEM NPI 1053367375

NPI Information

  • NPI: 1053367375
  • Provider Name: NORTHSHORE UNIVERSITY HEALTHSYSTEM
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: GLENBROOK HOSPITAL OUTPATIENT PHARMACY
  • CLIA Number: 14D2195475
  • Address: 2050 PFINGSTEN RD
    MEDICAL OFFICE BUILDING SOUTH - SUITE 100
    GLENVIEW, IL
    ZIP 60026
  • Phone: (847) 657-1785

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NPI Details

NORTHSHORE UNIVERSITY HEALTHSYSTEM is a pharmacy in Glenview, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. NORTHSHORE UNIVERSITY HEALTHSYSTEM NPI is 1053367375. The provider is registered as an organization entity type.
The provider Is Doing Business As Glenbrook Hospital Outpatient Pharmacy.

The provider's business location address is:

2050 PFINGSTEN RD
MEDICAL OFFICE BUILDING SOUTH - SUITE 100
GLENVIEW, IL
ZIP 60026-324
Phone: (847) 657-1785
Fax: (847) 657-1787

The provider's authorized official is Douglas D Welday .
The authorized official title is Cfo and has the following contact phone number (847) 570-5099.

The CLIA number assigned to this NPI record is 14D2195475 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 5/26/2006 and was last updated on 9/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy0003483ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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