NPIMap

Organization Active NPI

United RX LLC

  • Long Term Care Pharmacy
  • Shelbyville, IN
National Provider Identifier
1528458452
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
60006451A Issued in IN
Legal business name
UNITED RX LLC
Doing business as
United RX LLC
Practice address
1408 Miller Ave Ste a
Shelbyville, IN 46176-3279
Phone
(708) 449-7600
NPI assigned
Jan 30, 2015
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Henry Hernandez
Title
Ins. Contracting Rep.
Phone
(708) 375-5736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 60006451A IN Primary

Addresses

Primary practice location

1408 Miller Ave Ste a
Shelbyville, IN 46176-3279

Mailing address

150 Fencl LN
Hillside, IL 60162-2041
Phone (708) 375-5736

Other identifiers 2

IdentifierTypeStateIssuer
201285520AMedicaidIN
2150054OtherPK

Other names 1

  • UNITED RX LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United RX LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1408 Miller Ave
Ste A
Shelbyville, IN 46176
Phone (317) 421-2020

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1528458452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FENCL LN",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622041",
            "telephone_number": "708-375-5736",
            "fax_number": "708-375-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 MILLER AVE STE A",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461763279",
            "telephone_number": "708-449-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "INS. CONTRACTING REP.",
        "authorized_official_telephone_number": "708-375-5736"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60006451A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201285520A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED RX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.