Organization Active NPI

Pharmore Drugs, LLC

  • Long Term Care Pharmacy
  • Skokie, IL
National Provider Identifier
1417056540
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054.017037 Issued in IL
Legal business name
PHARMORE DRUGS, LLC
Practice address
3412 W Touhy Ave
Skokie, IL 60076-6217
Phone
(847) 679-7455
Fax
(847) 679-7667
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Mr. Randall K Peck
Title
Director of Quality and Compliance
Phone
(847) 679-7455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 054.017037 IL Primary

Addresses

Primary practice location

3412 W Touhy Ave
Skokie, IL 60076-6217

Mailing address

3412 W Touhy Ave
Skokie, IL 60076-6217
Phone (847) 679-7455

Other identifiers 1

IdentifierTypeStateIssuer
2023196OtherPK

Other names 1

  • PHARMORE DRUGS LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3412 W Touhy Ave
Skokie, IL 60076
Phone (847) 679-7455

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1417056540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 W TOUHY AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600766217",
            "telephone_number": "847-679-7455",
            "fax_number": "847-679-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 W TOUHY AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600766217",
            "telephone_number": "847-679-7455",
            "fax_number": "847-679-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMORE DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY AND COMPLIANCE",
        "authorized_official_telephone_number": "847-679-7455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054.017037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMORE DRUGS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.