Critical Care RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CRITICAL CARE RX, LLC

Practice address

4951 Indiana Ave Ste 100
Lisle, IL 60532-3843

Phone

(309) 690-7790

Fax

(888) 509-6114

NPI assigned

Feb 22, 2024

Last updated

Sep 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Brockmeyer

Title

Cfo

Phone

(309) 690-7790

Specialties & licenses 1

Addresses

Tax ID family

Critical Care RX LLC2 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.

• Critical Care RX, LLC

  • Long Term Care Pharmacy
  • Peoria, IL
  • NPI 1720574676
  NPD tax ID

Locations

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1053177576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 LACKLAND HILL PKWY STE 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463569",
            "telephone_number": "314-344-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 INDIANA AVE STE 100",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323843",
            "telephone_number": "309-690-7790",
            "fax_number": "888-509-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "BROCKMEYER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-690-7790"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Family Health S.C.
• Cornerstone Family Healthcare
• Lea Ann Cornish, D.C.
• Daniel Jesse Costa Jr, D.C.
• Marina Cotsilis
• Katherine Meghan Crowley, M.S. CCC-SLP
• Patricia Melody Cunningham, LCPC
• Cura Medical Group
• Cybress&Co Inc
• Zofia Cygan, M.D.

• Long Term Care Pharmacy in Lisle, IL
• Providers in Lisle, 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 Sep 18, 2024; 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.