Church St Pharm Inc
NPI 1891882080ActiveOrganization· Pharmacy· Skokie, IL
Pharmacy in Skokie, Illinois, registered in NPPES in October 2006. The authorized official on file is Mark Jacobs, RPH, Chief Pharmacist.
Overview
| NPI | 1891882080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2006 |
| Last updated in NPPES | Oct 28, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 54009433 | IL |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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