Mac RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

054018752 Issued in IL

Legal business name

MAC RX, LLC

Practice address

2307 S Mount Prospect Rd
Des Plaines, IL 60018-1811

Phone

(224) 220-2700

Fax

(224) 220-2729

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Curt Ayers

Title

Ceo

Phone

(312) 369-0441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1356750590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 S MOUNT PROSPECT RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181811",
            "telephone_number": "224-220-2700",
            "fax_number": "224-220-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 S MOUNT PROSPECT RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181811",
            "telephone_number": "224-220-2700",
            "fax_number": "224-220-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-369-0441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054018752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Des Plaines, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.