Active NPI
Ryvana Pharmacy and Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Palos Heights, IL
National Provider Identifier
1356279475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RYVANA PHARMACY AND MEDICAL SUPPLIES LLC
- Practice address
- 11845 Southwest Hwy Unit 5
Palos Heights, IL 60463-1599 - Phone
- (708) 949-9148
- NPI assigned
- May 11, 2026
- 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
- Mr. Motaz Shaheen
- Title
- Manager
- Phone
- (708) 949-9148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
11845 Southwest Hwy Unit 5
Palos Heights, IL 60463-1599
Mailing address
11845 Southwest Hwy Unit 5
Palos Heights, IL 60463-1599
National Provider Directory
National Provider DirectoryLocations
11845 Southwest Hwy
Unit 5
Palos Heights, IL 60463
Phone (708) 949-9148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1356279475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11845 SOUTHWEST HWY UNIT 5",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11845 SOUTHWEST HWY UNIT 5",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631599",
"telephone_number": "708-949-9148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYVANA PHARMACY AND MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "SHAHEEN",
"authorized_official_first_name": "MOTAZ",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "708-949-9148",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.