Victory RX, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.020635 Issued in IL

Legal business name

VICTORY RX, INC

Doing business as

Local Health Pharmacy

Practice address

2545 W. Diversey Ave Ste. 104
Chicago, IL 60647

Phone

(773) 673-5493

Fax

(844) 224-0287

NPI assigned

May 4, 2016

Last updated

Sep 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Selma Dzelil, PHARMD.

Title

VP Rdo

Phone

(815) 715-8502

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Local Health Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Adonis Alvin Ducre, PHARM.D

  • Pharmacist
  • Katy, TX
  • NPI 1417233610
  NPD
• Amanda Hjaige, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Chicago, IL
  • NPI 1457931602
  NPD (past)
• Ola M Issa, PHARMD

  • Pharmacist
  • Chicago, IL
  • NPI 1073116653
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1528413945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 W. DIVERSEY AVE STE. 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-673-5493",
            "fax_number": "844-224-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W. DIVERSEY AVE STE. 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-673-5493",
            "fax_number": "844-224-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY RX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "DZELIL",
        "authorized_official_first_name": "SELMA",
        "authorized_official_title_or_position": "VP RDO",
        "authorized_official_telephone_number": "815-715-8502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.020635",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Local Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victory House
• Victory Medical of Illinois PC
• Victory Medical Supply Inc
• Victory Pharmacy of Decatur Inc (Victory Pharmacy)
• Victory Place
• Vida Health Wellness, PLLC
• Vida Medical Centers PLLC
• Vida Pediatrics, LTD.
• Vida Therapy
• Gabriel Ernest Vida, DDS

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.