Provider Demographics
NPI:1063500478
Name:KARIS PHARMACY INC
Entity Type:Organization
Organization Name:KARIS PHARMACY INC
Other - Org Name:NORWOOD HIGGENS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PIC, AO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAGIANNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-631-5333
Mailing Address - Street 1:7124 W HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1904
Mailing Address - Country:US
Mailing Address - Phone:773-631-5333
Mailing Address - Fax:773-763-1402
Practice Address - Street 1:7124 W HIGGINS AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1904
Practice Address - Country:US
Practice Address - Phone:773-631-5333
Practice Address - Fax:773-763-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336L0003X
IL0540132513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2016862OtherPK
2016862OtherPK
2016862OtherPK