Halsted & 79th St. Pharmacy Inc.
NPI 1861551079 · Community/Retail Pharmacy · Melrose Park, IL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Halsted & 79th St. Pharmacy Inc. is a Community/Retail Pharmacy organization in Melrose Park, IL (NPI 1861551079).
Provider details
- NPI number
- 1861551079
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tushar Mehta, Pharmacy Manager(708) 450-0400
- License
- 054014924 (IL)
Specialties & taxonomies
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
- Broadway Ave Pharmacy
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2011-02-03
Frequently asked questions
- What is Halsted & 79th St. Pharmacy Inc.'s NPI number?
- Halsted & 79th St. Pharmacy Inc.'s National Provider Identifier (NPI) is 1861551079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Halsted & 79th St. Pharmacy Inc.?
- Halsted & 79th St. Pharmacy Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Halsted & 79th St. Pharmacy Inc. located?
- Halsted & 79th St. Pharmacy Inc.'s practice location on file with NPPES is 151 Broadway St, Melrose Park, IL 60160-3702.
- What is Halsted & 79th St. Pharmacy Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Halsted & 79th St. Pharmacy Inc. is (708) 450-0400.
- Does Halsted & 79th St. Pharmacy Inc. accept Medicare?
- Halsted & 79th St. 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 Halsted & 79th St. Pharmacy Inc.?
- The authorized official listed on Halsted & 79th St. Pharmacy Inc.'s NPPES record is Tushar Mehta, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Halsted & 79th St. Pharmacy Inc.'s NPI active?
- Yes — Halsted & 79th St. Pharmacy Inc.'s NPI (1861551079) is active in the NPPES registry as of the last update on 2011-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.