Organization Active NPI

Rxperts Pharmacy - Chicago, LLC

  • Long Term Care Pharmacy
  • Morton Grove, IL
National Provider Identifier
1821362369
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054-017857 Issued in IL
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

Updated by the provider on Mar 1, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20210325000973 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1850659350 Practice locations: Morton Grove, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.