NPIMap

Organization Active NPI

Saint Francis Hospital - Evanston LLC

Doing business as Prime Healthcare Rx 1002

  • Community/Retail Pharmacy
  • Evanston, IL
National Provider Identifier
1467494054
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.019886 Issued in IL
Legal business name
SAINT FRANCIS HOSPITAL - EVANSTON LLC
Doing business as
Prime Healthcare Rx 1002
Practice address
800 Austin St Ste 101
Evanston, IL 60202-3450
Phone
(847) 316-2372
Fax
(847) 316-4519
NPI assigned
Jun 11, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Christopher Doan
Title
Managing Associate General Counsel
Phone
(909) 235-4307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054.019886 IL Primary

Addresses

Primary practice location

800 Austin St Ste 101
Evanston, IL 60202-3450

Mailing address

800 Austin St Ste 101W
Evanston, IL 60202-3450
Phone (847) 316-2372

Other names 1

  • Prime Healthcare Rx 1002 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250623003839 IL Part B Supplier - Pharmacy 7012439284 1 other NPI on this enrollment
Practice locations: Evanston, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Saint Francis Hospital - Evanston LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1801 W Olympic Blvd
#2656
Pasadena, CA 91199

7435 W Talcott Ave
Ste 267
Chicago, IL 60631
Phone (773) 594-8408

7447 N Clark St
Ste B107
Chicago, IL 60626
Phone (224) 273-6590

77 N Airlite St
Ste 1209
Elgin, IL 60123
Phone (847) 717-6720

1908 Dempster St
Ste A
Evanston, IL 60202
Phone (224) 273-5773

800 Austin St
Ste 101
Evanston, IL 60202
Phone (847) 316-2373

800 Austin St
Ste 101W
Evanston, IL 60202

800 Austin St
Ste 105
Evanston, IL 60202
Phone (847) 316-6830

800 Austin St
Ste 551
Evanston, IL 60202
Phone (847) 316-3000

800 Austin St
Ste 6045
Evanston, IL 60202
Phone (847) 316-4325

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1467494054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 101W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023450",
            "telephone_number": "847-316-2372",
            "fax_number": "847-316-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 101",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023450",
            "telephone_number": "847-316-2372",
            "fax_number": "847-316-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS HOSPITAL - EVANSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.019886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Healthcare Rx 1002",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.