Active NPI
Heal RX Pharmacy LLC
- Community/Retail Pharmacy
- Crestwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2020
- 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
- Mrs. Sima Eghtesad, PHARM.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Crestwood, IL
- NPI 1679151336
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.