Organization Active NPI

RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Mount Prospect, IL
National Provider Identifier
1073330387
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RX PHARMACY LLC
Practice address
1725 W Algonquin Rd
Mount Prospect, IL 60056-5401
Phone
(847) 621-2103
Fax
(847) 485-8181
NPI assigned
Sep 26, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RX PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Mr. Charles J Gawronski, RPHNPI 1437869591
Title
President
Phone
(224) 316-0979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1725 W Algonquin Rd
Mount Prospect, IL 60056-5401

Mailing address

1221 S Leo CT
Palatine, IL 60067-2388
Phone (224) 316-0979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250410000666 IL Part B Supplier - Pharmacy 9739603804 Practice locations: Mount Prospect, IL

National Provider Directory

National Provider Directory
Tax ID family
RX Pharmacy LLC2 organizations share this tax ID, including this one
Part of
RX Pharmacy LLC

Other organizations with this tax ID 1

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

Locations

1725 W Algonquin Rd
Mt Prospect, IL 60056
Phone (847) 621-2103

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1073330387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S LEO CT",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672388",
            "telephone_number": "224-316-0979",
            "fax_number": "847-485-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W ALGONQUIN RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565401",
            "telephone_number": "847-621-2103",
            "fax_number": "847-485-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RX PHARMACY LLC",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "GAWRONSKI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-316-0979",
        "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": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.