Palos RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PALOS RX LLC

Practice address

6253 W 95TH St Ste 1B
Oak Lawn, IL 60453-2788

Phone

(708) 367-3640

Fax

(708) 367-3641

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Majd Ibrahim, PHARMD

Title

Pharmacist

Phone

(708) 367-3640

Specialties & licenses 1

Addresses

Other names 1

• life pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Adel Arar

  • Pharmacist
  • Palos Heights, IL
  • NPI 1538900303
  NPD
• Majd Ibraihm, DR.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Homer Glen, IL
  • NPI 1962137885
  NPD

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": "1124846449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6253 W 95TH ST STE 1B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532788",
            "telephone_number": "708-367-3640",
            "fax_number": "708-367-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6253 W 95TH ST STE 1B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532788",
            "telephone_number": "708-367-3640",
            "fax_number": "708-367-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MAJD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "708-367-3640",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "life pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Elizabeth Palmer, PA-C
• Jordan Palmer
• Ashley Marie Palmieri, APN
• Palos Internists SC
• Palos Pediatric Associates
• Mauna Bharat Pandya, MD
• Jessica Panice, CNS
• Valerie Papadopoulos, PHARMD
• Philip Vasilios Papaioannou
• George G Pappas, O.D.

• Community/Retail Pharmacy in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Community/Retail Pharmacy in Illinois

• 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.