Organization Active NPI

Prana Pharmacy Chicago LLC

  • Community/Retail Pharmacy
  • Schaumburg, IL
National Provider Identifier
1487327839
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRANA PHARMACY CHICAGO LLC
Practice address
712 E Higgins Rd
Schaumburg, IL 60173-4701
Phone
(630) 596-7431
Fax
(630) 864-5900
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2022

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

Authorized official

Name
Mr. Hansal T PatelNPI 1851945067
Title
Pharmacist in Charge
Phone
(224) 955-8441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

712 E Higgins Rd
Schaumburg, IL 60173-4701

Mailing address

712 E Higgins Rd
Schaumburg, IL 60173-4701
Phone (630) 596-7431

Other names 1

  • PRANACARE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220718002939 IL Part B Supplier - Pharmacy 4688055973 Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

712 E Higgins Rd
Schaumburg, IL 60173
Phone (224) 955-8441

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1487327839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734701",
            "telephone_number": "630-596-7431",
            "fax_number": "630-864-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734701",
            "telephone_number": "630-596-7431",
            "fax_number": "630-864-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA PHARMACY CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-05-30",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HANSAL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "224-955-8441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRANACARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRANACARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2022; 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.