Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roseland Community Hospital Association

Organization Pharmacy · NPI 1619417979

Roseland Community Hospital Association is a Pharmacy in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

45 W 111th St
Chicago, IL 60628-4200
Phone: (773) 291-1684
Fax: (773) 291-1685
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054020279 (IL)
Pharmacy Taxonomy 333600000X

Record details

NPI number1619417979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlo Kemp — Cfo, Ao · (773) 995-6502
Other names The New Roseland Outpatient Pharmacy
NPI enumeratedMarch 6, 2017
Last updated in NPPESMay 26, 2017
Mailing address45 W 111th St, Chicago, IL 60628-4200

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