Newpath Vital RX Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NEWPATH VITAL RX INC.

Practice address

425 Lake St Ste a
Antioch, IL 60002-1464

Phone

(224) 788-8557

Fax

(224) 788-8798

NPI assigned

Sep 26, 2019

Last updated

Sep 26, 2019By 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

Ms. Nisha Jani

Title

Pic

Phone

(224) 656-5797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1649821091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKE ST STE A",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021464",
            "telephone_number": "224-788-8557",
            "fax_number": "224-788-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKE ST STE A",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021464",
            "telephone_number": "224-788-8557",
            "fax_number": "224-788-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPATH VITAL RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "224-656-5797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Antioch, IL
• Providers in Antioch, 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 26, 2019; 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.