United RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

00005892 Issued in TN

Legal business name

UNITED RX LLC

Doing business as

UNITED RX LLC

Practice address

150 Fencl LN
Attn: Henry Hernandez
Hillside, IL 60162-2041

Phone

(708) 375-5736

Fax

(708) 240-4683

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Charles Benain

Title

Owner / Chief Operating Officer

Phone

(708) 449-7600

Specialties & licenses 1

Addresses

Other names 1

• UNITED RX LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• United RX LLC

  • Long Term Care Pharmacy
  • Hillside, IL
  • NPI 1952532517

  2860682572

  Same PAC ID
• United RX LLC

  • Long Term Care Pharmacy
  • Johnson City, TN
  • NPI 1043221625

  2860682572

  Same PAC ID
• United RX LLC

  • Long Term Care Pharmacy
  • Henderson, NY
  • NPI 1457820581

  2860682572

  Same PAC ID

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Abundant Christian Living Community LLC

  • Skilled Nursing Facility
  • Johnson City, TN
  • NPI 1902491178

  Adp of the SNF

  CMS ownership

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1013459486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 E BLEDSOE ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663003",
            "telephone_number": "708-449-7600",
            "fax_number": "708-240-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FENCL LN",
            "address_2": "ATTN: HENRY HERNANDEZ",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622041",
            "telephone_number": "708-375-5736",
            "fax_number": "708-240-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "BENAIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER / CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "708-449-7600"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "00005892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED RX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Renaissance at Hillside, Inc
• The Renaissance at Hillside, Inc
• Tricare Rehab
• Crystal Trinidad, FNP
• Trusting Hands Home Health Care LLC
• United RX LLC
• United/Xcel-RX LLC
• Evangelina Velasco, MS, OTR/L
• Amy Velecela, BT
• Village of Hillside

• Long Term Care Pharmacy in Hillside, IL
• Providers in Hillside, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.