Active NPI
Pharmore Drugs, LLC
- Long Term Care Pharmacy
- Skokie, IL
National Provider Identifier
1417056540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 054.017037
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023196 | Other | PK |
Other names 1
- PHARMORE DRUGS LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Community/Retail Pharmacy
- Skokie, IL
- NPI 1144402686
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.