Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Church St Pharm Inc

Pharmacy in Skokie, IL · enumerated 2006 · authorized official Mark Jacobs, Chief Pharmacist.

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

National Provider Identifier

1891882080

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Registry record

Entity type Organization (Type 2)

Legal business name Church St Pharm Inc

Practice address 9669 Kenton Ave, Skokie, IL, 60076

Phone (847) 674-5882

Fax (847) 674-9824

Enumeration date Oct 7, 2006

Last updated in NPPES Oct 28, 2009

Taxonomy & classification

333600000X Pharmacy Suppliers · License 54009433 (IL) Primary

3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Mark Jacobs

Title Chief Pharmacist

Phone (847) 674-5882

Other identifiers

Identifier	Type	State	Issuer
362405956001	Medicaid	IL	-
1456284	Other	-	OTHER ID NUMBER-COMMERCIAL NUMBER

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Church St Pharm Inc located?

The practice location on file with NPPES is in Skokie, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-10-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-28.