Silver Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SILVER PHARMACY, INC.

Doing business as

Silver Pharmacy

Practice address

1890 Silver Cross Blvd Ste 120
New Lenox, IL 60451-9528

Phone

(815) 800-3100

Fax

(815) 800-3200

NPI assigned

Jun 3, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Noura Alahmed, PHARMD

Title

President

Phone

(815) 800-3100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Silver Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Silver Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Silver Pharmacy, Inc.

  • Long Term Care Pharmacy
  • New Lenox, IL
  • NPI 1821889122
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1003555251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B #94702",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "815-800-3100",
            "fax_number": "815-800-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 120",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519528",
            "telephone_number": "815-800-3100",
            "fax_number": "815-800-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "ALAHMED",
        "authorized_official_first_name": "NOURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-800-3100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LICENSE",
            "identifier": "054022332",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silver Cross Hospital and Medical Centers
• Silver Cross Mso LLC
• Silver Lining Surgeons, S.C.
• Silver Oaks Behavioral, LLC
• Silver Oaks Behavioral, LLC
• Silver Pharmacy, Inc.
• Marchelle D Simmons, D. C.
• Dawn Simms, CRNA
• Erik Johnson Simon, MD
• Raven Symone Simpson, DNP, WHNP-BC

• Community/Retail Pharmacy in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.