Active NPI
Rxperts Pharmacy - Chicago, LLC
- Long Term Care Pharmacy
- Morton Grove, IL
National Provider Identifier
1821362369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 054-017857
- Legal business name
- RXPERTS PHARMACY - CHICAGO, LLC
- Practice address
- 6227 Park Ave
Morton Grove, IL 60053-2636 - Phone
- (847) 583-1717
- Fax
- (847) 583-1818
- NPI assigned
- Mar 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Gibber
- Title
- Ceo
- Phone
- (312) 656-0882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 054-017857 | IL | Primary |
Addresses
Primary practice location
6227 Park Ave
Morton Grove, IL 60053-2636
Mailing address
6227 Park Ave
Morton Grove, IL 60053-2636
Phone (847) 583-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210325000973 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850659350 | Practice locations: Morton Grove, IL |
National Provider Directory
National Provider DirectoryLocations
6227 Park Ave
Morton Grove, IL 60053
Phone (847) 470-1818
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Morton Grove, IL
- NPI 1972188423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330560000000",
"number": "1821362369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6227 PARK AVE",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532636",
"telephone_number": "847-583-1717",
"fax_number": "847-583-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6227 PARK AVE",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532636",
"telephone_number": "847-583-1717",
"fax_number": "847-583-1818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RXPERTS PHARMACY - CHICAGO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A",
"authorized_official_last_name": "GIBBER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "312-656-0882"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "IL",
"license": "054-017857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.