NPIMap

Organization Active NPI

Pharmacy Healthcare Solutions LTD

Doing business as Allstate Good Life Pharmacy

  • Community/Retail Pharmacy
  • Northbrook, IL
National Provider Identifier
1023389434
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054017829 Issued in IL
Legal business name
PHARMACY HEALTHCARE SOLUTIONS LTD
Doing business as
Allstate Good Life Pharmacy
Practice address
2775 Sanders Rd Ste C1
Northbrook, IL 60062-6110
Phone
(847) 402-9400
Fax
(847) 402-9420
NPI assigned
Jan 16, 2012
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Terry Forrest, RPH
Title
Vice President
Phone
(901) 409-7091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 054017829 IL Primary

Addresses

Primary practice location

2775 Sanders Rd Ste C1
Northbrook, IL 60062-6110

Mailing address

2775 Sanders Rd Ste C1
Northbrook, IL 60062-6110
Phone (847) 402-9400

Other identifiers 1

IdentifierTypeStateIssuer
2133592OtherPK

Other names 1

  • Allstate Good Life Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advocate RX Solutions5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2775 Sanders Rd
Ste C1
Northbrook, IL 60062
Phone (847) 402-2300

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1023389434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SANDERS RD STE C1",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626110",
            "telephone_number": "847-402-9400",
            "fax_number": "847-402-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 SANDERS RD STE C1",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626110",
            "telephone_number": "847-402-9400",
            "fax_number": "847-402-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY HEALTHCARE SOLUTIONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-409-7091",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054017829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allstate Good Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.