Progressive Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054009583 Issued in IL

Legal business name

PROGRESSIVE PHARMACY

Practice address

229 W Grand Ave
Unit V
Bensenville, IL 60106-3399

Phone

(630) 595-5600

Fax

(630) 595-0448

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Ivy Yu

Title

Pharmacist Manager

Phone

(630) 595-5600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• AUGUSTA PROGRESSIVE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1205962602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W GRAND AVE",
            "address_2": "UNIT V",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063399",
            "telephone_number": "630-595-5600",
            "fax_number": "630-595-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W GRAND AVE",
            "address_2": "UNIT V",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063399",
            "telephone_number": "630-595-5600",
            "fax_number": "630-595-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "630-595-5600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054009583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUGUSTA PROGRESSIVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Premier Behavioral Health Services, P.C.
• Prosperritta Dental, PLLC
• Randolph Raj, PTA
• Thirunindravur L. Ramadorai, D.D.S.
• Sivakumar Ramu, PHD
• Amber Ratcliff

• Community/Retail Pharmacy in Bensenville, IL
• Providers in Bensenville, 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 Nov 21, 2016; 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.