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111th Pharma-Family

Health Service Clinic/Center in Chicago, IL · enumerated 2012 · authorized official Adele Vanjackson, Owner/Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659616175

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Registry record

Entity type Organization (Type 2)
Legal business name 111th Pharma-Family
Practice address 11101 S State St, Chicago, IL, 60628
Phone (708) 503-9845
Enumeration date Dec 10, 2012
Last updated in NPPES Dec 10, 2012

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities · License 051035317 (IL) Primary

Authorized official

Name Adele Vanjackson
Title Owner/Pharmacist
Phone (708) 503-9845

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is 111th Pharma-Family?
111th Pharma-Family is registered in NPPES as a Health Service Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-10.