Praxis Specialty Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054019439 Issued in IL

Legal business name

PRAXIS SPECIALTY PHARMACY, LLC

Doing business as

PraxisRx Pharmacy

Practice address

455 N Harlem Ave
Lower Level
Oak Park, IL 60301-2020

Phone

(888) 510-3383

Fax

(708) 330-4467

NPI assigned

Jul 15, 2015

Last updated

Jul 15, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PRAXIS SPECIALTY PHARMACY, LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Folliard, RPH

Title

Pharmacist in Charge

Phone

(888) 510-3383

Specialties & licenses 1

Addresses

Other names 1

• PraxisRx Pharmacy Doing business as

Tax ID family

Praxis Specialty Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Praxis Specialty Pharmacy LLC

Other organizations with this tax ID 1

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

• Praxis Specialty Pharmacy, LLC

  dba Brand Direct Health

  • Mail Order Pharmacy
  • Tampa, FL
  • NPI 1861280596
  NPD tax ID

Locations

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1225412786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705",
            "telephone_number": "888-903-7453",
            "fax_number": "888-958-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N HARLEM AVE",
            "address_2": "LOWER LEVEL",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603012020",
            "telephone_number": "888-510-3383",
            "fax_number": "708-330-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAXIS SPECIALTY PHARMACY, LLC",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "FOLLIARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "888-510-3383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054019439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PraxisRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Oak Park, IL
• Providers in Oak Park, 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 Jul 15, 2015; 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.