✓ Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy (3336C0003X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

87TH & HARLEM CRESCENT PHARMACY INC (NPI #1578737409)

Pharmacy, Community/Retail Pharmacy • BRIDGEVIEW, IL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1578737409
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3336C0003X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy
Box 32 Service Location & ZIP+4
7261 W 87TH ST, BRIDGEVIEW, IL, 60455-1821
✓ 9-Digit EDI 837 ZIP+4 (60455-1821)
Practice Phone & Referral Fax
Fax: (708) 598-0606
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1578737409 (87TH & HARLEM CRESCENT PHARMACY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1578737409 (NPI-2 Organization / Facility)
Provider / Legal Name87TH & HARLEM CRESCENT PHARMACY INC
Plain-English SpecialtyLicensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy
NUCC Code: 3336C0003X (Pharmacy, Community/Retail Pharmacy)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address7261 W 87TH ST, BRIDGEVIEW, IL, 60455-1821
Practice Telephone / FaxTel: (708) 598-0505 | Fax: (708) 598-0606
Administrative Mailing Address7261 W 87TH ST, BRIDGEVIEW, IL, 60455-1821
Enumeration & Last SyncEnumerated: 2008-04-22 | CMS Record Updated: 2024-07-11
Authorized OfficialMUHAMMAD TAHA (PIC)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7261 W 87TH ST, BRIDGEVIEW, IL, 60455-1821

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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)

What Does Taxonomy Code 3336C0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Community/Retail Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (87TH & HARLEM CRESCENT PHARMACY INC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
3336C0003X — Pharmacy, Community/Retail Pharmacy
Plain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy
State: IL | License: 054016428 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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