Community Pharmacy of Chicago Ridge Inc
NPI 1649501206ActiveOrganization· Pharmacy· Chicago Ridge, IL
Pharmacy in Chicago Ridge, Illinois, registered in NPPES in January 2010. The authorized official on file is Jawad H. Hamdan, PHARMD, President/Pic. Enrolled in Medicare as part b supplier - independent clinical laboratory.
Overview
| NPI | 1649501206 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2010 |
| Last updated in NPPES | Nov 22, 2020 |
| Certified by provider | Nov 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 54-016794 | IL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 054-016794 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (IL) |
|---|