Active NPI
Sara Retails Store Limited
- Community/Retail Pharmacy
- Bolingbrook, IL
National Provider Identifier
1134036684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SARA RETAILS STORE LIMITED
- Practice address
- 828 Clearcroft Ave # in
Bolingbrook, IL 60490-5441 - Phone
- (786) 509-5082
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Shah
- Title
- Ceo
- Phone
- (786) 509-5082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
828 Clearcroft Ave # in
Bolingbrook, IL 60490-5441
Mailing address
828 Clearcroft Ave # in
Bolingbrook, IL 60490-5441
Phone (786) 509-5082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1134036684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 CLEARCROFT AVE # IN",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604905441",
"telephone_number": "786-509-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 CLEARCROFT AVE # IN",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604905441",
"telephone_number": "786-509-5082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA RETAILS STORE LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-509-5082"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.