Surecare Discount Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.020127 Issued in IL

Legal business name

SURECARE DISCOUNT PHARMACY INC

Doing business as

Surecare Pharmacy IL

Practice address

4700 S California Ave
Chicago, IL 60632-2016

Phone

(708) 713-0078

Fax

(708) 405-2078

NPI assigned

Oct 28, 2016

Organization subpart

No

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

Authorized official

Name

Rachit Shah, RPHNPI 1629622840

Title

President

Phone

(708) 713-0078

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Surecare Pharmacy IL Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Rachit Shah, RPH

  • Pharmacist
  • South Barrington, IL
  • NPI 1629622840
  NPD Authorized official

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1366994006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322016",
            "telephone_number": "708-713-0078",
            "fax_number": "708-405-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322016",
            "telephone_number": "708-713-0078",
            "fax_number": "708-405-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURECARE DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RACHIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-713-0078",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.020127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surecare Pharmacy IL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sure Work Health Clinic
• Sure Work Health Clinic LTD
• Surecare 2 Inc. (Surecare pharmacy chicago)
• Surecare Discount Inc (Mycare Pharmacy)
• Surecare Discount Pharmacy 2 Inc (Friend Health Pharmacy)
• Surecare Pharmacy 2 Inc
• Surender Kumar, MD, SC
• Suresh V.Shingala MD LTD
• Huliyar Ramakrishna Suresh, DDS
• Malavika Suresh, MD

• 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 Sep 26, 2022; 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.