Express Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054020081 Issued in IL

Legal business name

EXPRESS PHARMACY INC

Doing business as

Express Pharmacy Inc

Practice address

724 S Milwaukee Ave
Wheeling, IL 60090-6202

Phone

(847) 243-8259

Fax

(847) 324-2190

NPI assigned

Jul 23, 2013

Organization subpart

No

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

Authorized official

Name

Eileen Krol, PHARMDNPI 1114227014

Title

Pic/Owner

Phone

(847) 243-8259

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Express Pharmacy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eileen Krol, PHARMD

  • Pharmacist
  • Wheeling, IL
  • NPI 1114227014
  NPD Authorized official

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1013359785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906202",
            "telephone_number": "847-243-8259",
            "fax_number": "847-324-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906202",
            "telephone_number": "847-243-8259",
            "fax_number": "847-324-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "KROL",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "847-243-8259",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054020081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611411995001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142347",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Wheeling, IL
• Providers in Wheeling, 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 Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.