Active NPI
Tarrytown Expocare Il LLC
- Long Term Care Pharmacy
- Morton Grove, IL
National Provider Identifier
1154975340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- TARRYTOWN EXPOCARE IL LLC
- Practice address
- 8145 River Dr Ste 106
Morton Grove, IL 60053-2645 - Phone
- (855) 887-9397
- Fax
- (855) 617-7313
- NPI assigned
- Jul 26, 2019
- 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
- Robert Meyer Jr
- Title
- Cfo
- Phone
- (512) 649-8963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
8145 River Dr Ste 106
Morton Grove, IL 60053-2645
Mailing address
8500 Shoal Creek Blvd BLDG 1
Austin, TX 78757-6888
Phone (855) 887-9397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240905000173 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 2961942958 | Practice locations: Morton Grove, IL |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
8145 River Dr
Ste 106
Morton Grove, IL 60053
Phone (855) 617-7312
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Morton Grove, IL
- NPI 1265377394
-
- Pharmacist
- Chicago, IL
- NPI 1639658719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1154975340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 SHOAL CREEK BLVD BLDG 1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787576888",
"telephone_number": "855-887-9397",
"fax_number": "855-617-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8145 RIVER DR STE 106",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532645",
"telephone_number": "855-887-9397",
"fax_number": "855-617-7313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARRYTOWN EXPOCARE IL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-26",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "MEYER JR",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "512-649-8963"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.