Ascension Pharmacy Services, LLC.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ASCENSION PHARMACY SERVICES, LLC.

Doing business as

Ascension Rx 2700

Practice address

100 N River Rd Ste G122
Des Plaines, IL 60016-1209

Phone

(847) 581-0800

Fax

(847) 410-4909

NPI assigned

Oct 2, 2006

Last updated

Apr 18, 2022By 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

Edgar Dem Auf Dem Graben, RPHNPI 1336702125

Title

Pharmacy Manager

Phone

(847) 581-0800

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Ascension Rx 2700 Doing business as

Tax ID family

Presence RHC Senior Services3 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.

• Ballard Nursing Center, Inc.

  • Skilled Nursing Facility
  • Des Plaines, IL
  • NPI 1033166160
  NPD tax ID
• Presence Senior Services Chicagoland

  dba Ascension Living Resurrection Village Life Center

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1730173881
  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, and the practitioner matching its NPPES authorized official.

• Edgar Auf Dem Graben

  • Geriatric Pharmacist
  • Des Plaines, IL
  • NPI 1336702125
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1538252184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N RIVER RD STE G122",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161209",
            "telephone_number": "847-581-0800",
            "fax_number": "847-410-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N RIVER RD STE G122",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161209",
            "telephone_number": "847-581-0800",
            "fax_number": "847-410-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION PHARMACY SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "AUF DEM GRABEN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "DEM",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "847-581-0800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054017075",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2024645",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237061646021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Rx 2700",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Asam-Jensen, M.D.
• Donika Asaulenko
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• Asbury Court, LLC
• ASC Neuromonitoring
• Rana Asfar
• Jeannette Brucks Ash, R.PH.
• Maurice Ashford
• Michal Ashkanazy
• Furrukh Ashraf

• Long Term Care Pharmacy in Des Plaines, IL
• Providers in Des Plaines, 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 Apr 18, 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.