Organization Active NPI

Healy Pharmacy LLC

  • Community/Retail Pharmacy
  • Warrenville, IL
National Provider Identifier
1124356712
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEALY PHARMACY LLC
Practice address
4580 Weaver Pkwy
Suite 103
Warrenville, IL 60555-3864
Phone
(630) 357-2900
Fax
(630) 357-2989
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Victor Perini
Title
Assistant Secretary
Phone
(314) 847-0146

Specialties & licenses 1

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

Addresses

Primary practice location

4580 Weaver Pkwy
Suite 103
Warrenville, IL 60555-3864

Mailing address

335 Bear Hill Rd
Waltham, MA 02451-1006
Phone (877) 334-1610

Other identifiers 1

IdentifierTypeStateIssuer
473828401002MedicaidIL

Other names 1

  • Healy Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

100 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 357-2900

4580 Weaver Pkwy
Ste 103
Warrenville, IL 60555
Phone (630) 357-2900

335 Bear Hill Rd
Ste 1
Waltham, MA 02451

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1124356712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BEAR HILL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511006",
            "telephone_number": "877-334-1610",
            "fax_number": "877-334-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY",
            "address_2": "SUITE 103",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553864",
            "telephone_number": "630-357-2900",
            "fax_number": "630-357-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "314-847-0146"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473828401002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.