Organization Active NPI

Yes Vital RX Inc

  • Community/Retail Pharmacy
  • North Chicago, IL
National Provider Identifier
1104129394
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054019563 Issued in IL
Legal business name
YES VITAL RX INC
Practice address
1817 Sheridan Rd
North Chicago, IL 60064-2235
Phone
(224) 656-5797
Fax
(224) 656-5704
NPI assigned
Dec 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Nisha JaniNPI 1295002236
Title
Owner
Phone
(224) 656-5797

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 054019563 IL Primary

Addresses

Primary practice location

1817 Sheridan Rd
North Chicago, IL 60064-2235

Mailing address

1817 Sheridan Rd
North Chicago, IL 60064-2235
Phone (224) 656-5797

Other identifiers 1

IdentifierTypeStateIssuer
2157271OtherPK

Other names 1

  • YES VITAL RX INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160829000593 IL DME Supplier - Pharmacy 3870888910 Practice locations: North Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Yes Vital RX Inc1817 Sheridan Rd, North Chicago, IL 60064-2235(224) 656-5797 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 20, 2016

National Provider Directory

National Provider Directory

Locations

1817 Sheridan Rd
North Chicago, IL 60064
Phone (224) 656-5797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1104129394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 SHERIDAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642235",
            "telephone_number": "224-656-5797",
            "fax_number": "224-656-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 SHERIDAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642235",
            "telephone_number": "224-656-5797",
            "fax_number": "224-656-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YES VITAL RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-656-5797"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054019563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YES VITAL RX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.