Organization Active NPI

Symbria RX Services, LLC.

Doing business as Westminster Pharmacy

  • Long Term Care Pharmacy
  • Evanston, IL
National Provider Identifier
1124546031
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054020351 Issued in IL
Legal business name
SYMBRIA RX SERVICES, LLC.
Doing business as
Westminster Pharmacy
Practice address
3200 Grant St RM 41
Evanston, IL 60201-1903
Phone
(847) 492-4827
Fax
(847) 570-3465
NPI assigned
Aug 31, 2017
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SYMBRIA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Derek Brown
Title
Vice President of Pharmacy
Phone
(630) 981-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 054020351 IL Primary

Addresses

Primary practice location

3200 Grant St RM 41
Evanston, IL 60201-1903

Mailing address

7125 Janes Ave Ste 300
Woodridge, IL 60517-2304
Phone (630) 981-8000

Other identifiers 1

IdentifierTypeStateIssuer
054020351OtherILPHARMACY STATE LICENSE NUMBER

Other names 1

  • Westminster Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Symbria RX Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3200 Grant St
Rm 41
Evanston, IL 60201
Phone (847) 492-4827

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1124546031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 JANES AVE STE 300",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172304",
            "telephone_number": "630-981-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRANT ST RM 41",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011903",
            "telephone_number": "847-492-4827",
            "fax_number": "847-570-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBRIA RX SERVICES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYMBRIA, INC.",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PHARMACY",
        "authorized_official_telephone_number": "630-981-8150"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054020351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY STATE LICENSE NUMBER",
            "identifier": "054020351",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.