Olympia Fields Pharmacy Inc
NPI 1104930098 · Community/Retail Pharmacy · Chicago, IL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olympia Fields Pharmacy Inc is a Community/Retail Pharmacy organization in Chicago, IL (NPI 1104930098).
Provider details
- NPI number
- 1104930098
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Akil Ghogawala, Phcy Mgr(847) 420-3789
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bienestar Pharmacy
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2017-02-21
Frequently asked questions
- What is Olympia Fields Pharmacy Inc's NPI number?
- Olympia Fields Pharmacy Inc's National Provider Identifier (NPI) is 1104930098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olympia Fields Pharmacy Inc?
- Olympia Fields Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Olympia Fields Pharmacy Inc located?
- Olympia Fields Pharmacy Inc's practice location on file with NPPES is 966 W 21st St, Chicago, IL 60608-4511.
- What is Olympia Fields Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Olympia Fields Pharmacy Inc is (312) 226-2266.
- Does Olympia Fields Pharmacy Inc accept Medicare?
- Olympia Fields Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Olympia Fields Pharmacy Inc?
- The authorized official listed on Olympia Fields Pharmacy Inc's NPPES record is Akil Ghogawala, Phcy Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olympia Fields Pharmacy Inc's NPI active?
- Yes — Olympia Fields Pharmacy Inc's NPI (1104930098) is active in the NPPES registry as of the last update on 2017-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.