PMDX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PMDX LLC

Practice address

2731 W Division St Ste a
Chicago, IL 60622-2854

Phone

(833) 545-5001

Fax

(877) 545-5001

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Arash Raei, PHARMDNPI 1639535032

Title

Pic

Phone

(833) 545-5001

Specialties & licenses 2

Addresses

Other names 1

• FedRx Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arash Raei, PHARMD

  • Pharmacist
  • Skokie, IL
  • NPI 1639535032
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1356049340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 W DIVISION ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222854",
            "telephone_number": "833-545-5001",
            "fax_number": "877-545-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 W DIVISION ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222854",
            "telephone_number": "833-545-5001",
            "fax_number": "877-545-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "RAEI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "833-545-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FedRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FedRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kari Poby, PSY.D.
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• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, 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 Mar 15, 2023; 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.