Senior Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054016421 Issued in IL

Legal business name

SENIOR CARE PHARMACY LLC

Practice address

4043 Main St
Skokie, IL 60076-2778

Phone

(847) 579-0093

Fax

(847) 983-4766

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Jenifer Pena

Title

Manager

Phone

(847) 579-0093

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Gary Berger

  • Pharmacist
  • Highland Park, IL
  • NPI 1174774624
  NPD (past)
• Timothy Joseph Youkhana, PHARM. D.

  • Pharmacist
  • Skokie, IL
  • NPI 1518247097
  NPD (past)
• Nancy Zomaya, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1649407065
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1780858647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762778",
            "telephone_number": "847-579-0093",
            "fax_number": "847-983-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762778",
            "telephone_number": "847-579-0093",
            "fax_number": "847-983-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-579-0093"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Velid Seferovic, DPM
• Susan Segev, M.S.,C.C.C.-SP.
• Anna Seidenberg, M.S., OTR/L
• Select Home Care, Inc.
• Sangeeta Senapati, MD
• Tania Sepulveda
• Serendipty Home Healthcare, Inc. (Serendipity Home HealthCare Inc)
• Serendipty Home Healthcare, Inc.
• Jessica Serfaty
• Mark Douglas Seske, M.S.

• Community/Retail Pharmacy in Skokie, IL
• Providers in Skokie, 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 Apr 18, 2018; 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.