Pharmacy

111TH PHARMA - FAMILY

Public NPPES listing with taxonomy: Pharmacy, Community/Retail Pharmacy.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1255415386

Taxonomy: Pharmacy, Community/Retail Pharmacy (3336C0003X)

Source confidence: 62%

Medicare assignment: Unknown from NPPES

Address: 11101 S STATE ST, CHICAGO, IL, 606284206

Phone: 773-785-5192

Last verified: May 13, 2026