Prism Pharmacy Belvidere LTD

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PRISM PHARMACY BELVIDERE LTD

Practice address

1004 Logan Ave Ste a
Belvidere, IL 61008-3955

Phone

(779) 552-7007

Fax

(779) 552-7009

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Samar Sheth

Title

Owner/Pharmacist

Phone

(630) 550-2215

Specialties & licenses 1

Addresses

Other names 1

• Prism Pharmacy Belvidere Doing business as

Locations

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1285404459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 LOGAN AVE STE A",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083955",
            "telephone_number": "779-552-7007",
            "fax_number": "779-552-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 LOGAN AVE STE A",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083955",
            "telephone_number": "779-552-7007",
            "fax_number": "779-552-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM PHARMACY BELVIDERE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "630-550-2215"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Pharmacy Belvidere",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.