Organization Active NPI

Heal RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Crestwood, IL
National Provider Identifier
1386153328
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
051.289936
Legal business name
HEAL RX PHARMACY LLC
Practice address
14120 Cicero Ave
Crestwood, IL 60418-2153
Phone
(708) 371-9900
Fax
(708) 371-9901
NPI assigned
Sep 21, 2017
Last updated
May 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Mrs. Sima Eghtesad, PHARM.DNPI 1679151336
Title
Pharmacist
Phone
(708) 263-5425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 051.289936 Primary

Addresses

Primary practice location

14120 Cicero Ave
Crestwood, IL 60418-2153

Mailing address

14120 Cicero Ave
Crestwood, IL 60418-2153
Phone (708) 371-9900

National Provider Directory

National Provider Directory

Locations

14106 Cicero Ave
Crestwood, IL 60418

14120 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1386153328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604182153",
            "telephone_number": "708-371-9900",
            "fax_number": "708-371-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604182153",
            "telephone_number": "708-371-9900",
            "fax_number": "708-371-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "EGHTESAD",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "708-263-5425",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": "051.289936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.