Orsini Pharmaceutical Services, LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

ORSINI PHARMACEUTICAL SERVICES, LLC

Practice address

1107 Nicholas Blvd
Elk Grove Village, IL 60007-2516

Phone

(847) 734-7373

Fax

(847) 734-1822

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Brandon Tom, PHARMD

Title

President and Ceo

Phone

(847) 734-7373

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Orsini Pharmaceutical Services, LLC

  • Specialty Pharmacy
  • Columbus, OH
  • NPI 1194430223

  2264641844

  Same PAC ID

Tax ID family

Orsini Pharmaceutical Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Orsini Pharmaceutical Services, LLC

  • Specialty Pharmacy
  • Elk Grove Village, IL
  • NPI 1699335984
  NPD tax ID
• Orsini Pharmaceutical Services, LLC

  • Specialty Pharmacy
  • Columbus, OH
  • NPI 1194430223
  NPD tax ID

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073608998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NICHOLAS BLVD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072516",
            "telephone_number": "847-734-7373",
            "fax_number": "847-725-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NICHOLAS BLVD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072516",
            "telephone_number": "847-734-7373",
            "fax_number": "847-734-1822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Nicholas Blvd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600072516",
            "country_code": "US",
            "telephone_number": "847-734-7373",
            "fax_number": "847-725-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORSINI PHARMACEUTICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "847-734-7373",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "054.020692",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1477416",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patientcare@orsinihc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1107 Nicholas Blvd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600072516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patientcare@orsinihc.com",
            "affiliation": "N",
            "endpointDescription": "Email Adress",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1107 Nicholas Blvd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600072516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Specialty Pharmacy in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Specialty Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.