Organization Active NPI

Med USA Pharmacy Inc

  • Pharmacy
  • Mundelein, IL
National Provider Identifier
1659068468
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MED USA PHARMACY INC
Doing business as
Med USA Pharmacy
Practice address
333 E Il Route 83 Ste 100a
Mundelein, IL 60060-4278
Phone
(847) 220-8558
Fax
(224) 475-0139
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Dr. Marianna Poplavsky, PHARMDNPI 1558719542
Title
Pharmacist in Charge
Phone
(847) 220-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

333 E Il Route 83 Ste 100a
Mundelein, IL 60060-4278

Mailing address

333 E Il Route 83 Ste 100a
Mundelein, IL 60060-4278
Phone (847) 220-8558

Other names 1

  • Med USA Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231023002222 IL Part B Supplier - Pharmacy 3577919869 Practice locations: Mundelein, IL

National Provider Directory

National Provider Directory

Locations

333 E Il Route 83
Ste 100A
Mundelein, IL 60060
Phone (847) 220-8558

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1659068468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83 STE 100A",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604278",
            "telephone_number": "847-220-8558",
            "fax_number": "224-475-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83 STE 100A",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604278",
            "telephone_number": "847-220-8558",
            "fax_number": "224-475-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED USA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "POPLAVSKY",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "847-220-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med USA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Med USA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.