Organization Active NPI

Care One Pharmacy Services LLC

  • Long Term Care Pharmacy
  • Niles, IL
National Provider Identifier
1437450236
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054-017573 Issued in IL
Legal business name
CARE ONE PHARMACY SERVICES LLC
Practice address
7550 N Oak Park Ave
Niles, IL 60714-3820
Phone
(847) 674-2600
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Philip Torf
Title
Compliance Officer
Phone
(847) 674-2600

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X 054-017573 IL Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

7550 N Oak Park Ave
Niles, IL 60714-3820

Mailing address

7550 N Oak Park Ave
Niles, IL 60714-3820
Phone (847) 674-2600

Other practice location 1

3855 Oakton St
Skokie, IL 60076-3429
Phone (847) 674-2600

Other identifiers 1

IdentifierTypeStateIssuer
2127535OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180925002661 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1951568815 Practice locations: Niles, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2194852Care One Pharmacy Services, L L C7550 N Oak Park Ave, Niles, IL 60714Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

7550 N Oak Park Ave
Niles, IL 60714
Phone (773) 430-0232

3855 Oakton St
Skokie, IL 60076
Phone (847) 674-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1437450236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 N OAK PARK AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143820",
            "telephone_number": "847-674-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N OAK PARK AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143820",
            "telephone_number": "847-674-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 Oakton St",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600763429",
            "country_code": "US",
            "telephone_number": "847-674-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARE ONE PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "TORF",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "847-674-2600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054-017573",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127535",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.