Staywell Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

STAYWELL PHARMACY CORP

Doing business as

Staywell Pharmacy

Practice address

912 E Northwest Hwy Unit C-131
Palatine, IL 60074-6506

Phone

(847) 942-3110

Fax

(847) 496-5437

NPI assigned

Jan 31, 2019

Last updated

May 8, 2020By 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

Mr. Sadathulla Shareef, RPH

Title

Owner/President

Phone

(516) 859-4292

Specialties & licenses 1

Addresses

Other names 1

• Staywell Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

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 3

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.

• Emaad Ahmed

  • Pharmacist
  • Palatine, IL
  • NPI 1669358834
  NPD
• Rubeena Nausheen Siddiqui, PHARM D

  • Pharmacist
  • Streamwood, IL
  • NPI 1033881479
  NPD
• Sadath Ulla Shareef, B.PHARM; M.TECH

  • Pharmacist
  • Ridgewood, NY
  • NPI 1861716383
  NPD

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1073078325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746506",
            "telephone_number": "847-496-5559",
            "fax_number": "847-496-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E NORTHWEST HWY UNIT C-131",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746506",
            "telephone_number": "847-942-3110",
            "fax_number": "847-496-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "SHAREEF",
        "authorized_official_first_name": "SADATHULLA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-859-4292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staywell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Staywell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Palatine, IL
• Providers in Palatine, 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 May 8, 2020; 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.