Primerx, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054019688 Issued in IN

Legal business name

PRIMERX, INC.

Doing business as

Antillas Pharmacy

Practice address

3109 W Armitage Ave
Chicago, IL 60647-3818

Phone

(773) 292-5555

NPI assigned

Jan 6, 2016

Last updated

Jan 6, 2016By 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

Mr. Ronak Manek, R.PH.

Title

Secretary/Treausrer

Phone

(630) 747-7495

Specialties & licenses 1

Addresses

Other names 1

• Antillas Pharmacy Doing business as

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1700242898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473818",
            "telephone_number": "773-292-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473818",
            "telephone_number": "773-292-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "MANEK",
        "authorized_official_first_name": "RONAK",
        "authorized_official_title_or_position": "SECRETARY/TREAUSRER",
        "authorized_official_telephone_number": "630-747-7495",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "054019688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antillas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mallory Primm
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• Sarah Primus, PTA
• Gregory Primuth, RPH

• 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 Jan 6, 2016; 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.