OrganizationActive
111th Pharma - Family
NPI 1255415386 · Community/Retail Pharmacy · Chicago, IL
111th Pharma - Family is a Community/Retail Pharmacy organization in Chicago, IL (NPI 1255415386).
Provider details
- NPI number
- 1255415386
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Adele Vanjackson, Pic(773) 785-5192
- License
- 054018137 (IL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
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
11101 S State St
Chicago, IL 60628-4206
Phone: (773) 785-5192
Fax: (773) 821-6970
Street-level locationGet directions
Mailing address
11101 S State St
Chicago, IL 60628-4206
Other names (DBA / former)
- Doing business as
- 111th Pharma Family
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2013-08-27
Frequently asked questions
- What is 111th Pharma - Family's NPI number?
- 111th Pharma - Family's National Provider Identifier (NPI) is 1255415386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 111th Pharma - Family?
- 111th Pharma - Family is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is 111th Pharma - Family located?
- 111th Pharma - Family's practice location on file with NPPES is 11101 S State St, Chicago, IL 60628-4206.
- What is 111th Pharma - Family's phone number?
- The practice phone number listed in the NPPES registry for 111th Pharma - Family is (773) 785-5192.
- Who is the authorized official for 111th Pharma - Family?
- The authorized official listed on 111th Pharma - Family's NPPES record is Adele Vanjackson, Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 111th Pharma - Family's NPI active?
- Yes — 111th Pharma - Family's NPI (1255415386) is active in the NPPES registry as of the last update on 2013-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.