Prohealth Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PROHEALTH PHARMACY LLC

Practice address

4709 Golf Rd Ste 110
Skokie, IL 60076-1238

Phone

(847) 423-2242

NPI assigned

May 20, 2024

Organization subpart

Yes

Parent organization

PROHEALTH PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Rushik Patel

Title

Pic

Phone

(847) 423-2242

Specialties & licenses 1

Addresses

Tax ID family

Prohealth Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Prohealth Pharmacy LLC

Other organizations with this tax ID 1

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

• Prohealth Pharmacy LLC

  • Community/Retail Pharmacy
  • Skokie, IL
  • NPI 1871156547
  NPD tax ID

Locations

Practitioners 1

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

• Rajesh Punnoose

  • Pharmacist
  • Skokie, IL
  • NPI 1912700071
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1497504617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 110",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761238",
            "telephone_number": "847-423-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 110",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761238",
            "telephone_number": "847-423-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROHEALTH PHARMACY LLC",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUSHIK",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "847-423-2242"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Prince, DDS
• Julius Prince, DMD
• Pro Active Health Services, Inc.
• Pro Health Medical Group
• Proficient Home Health Care Inc
• Prohealth Pharmacy LLC
• Prolife Home Health Care, Inc.
• Kimberly Niccole Prugh, LMFT
• Holly F Przekota, MS CCC SLP
• Psychiatric Medicine Assoc LLC (Robert Shulman MD)

• Long Term Care Pharmacy in Skokie, IL
• Providers in Skokie, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.