Citizens RX, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CITIZENS RX, LLC

Practice address

1144 Lake St FL 4
Oak Park, IL 60301-6705

Phone

(888) 545-1120

NPI assigned

Jan 20, 2020

Organization subpart

No

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

Authorized official

Name

Douglas Michaud

Title

VP, Legal

Phone

(312) 789-4304

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1417587387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST FL 4",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST FL 4",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705",
            "telephone_number": "888-545-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "VP, LEGAL",
        "authorized_official_telephone_number": "312-789-4304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.