NPIMap

Organization Active NPI

Mona Kea Pharmacy, Inc.

  • Pharmacy
  • Carol Stream, IL
National Provider Identifier
1831472299
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054-17758 Issued in IN
Legal business name
MONA KEA PHARMACY, INC.
Practice address
501 Thornhill Dr
Suite B
Carol Stream, IL 60188-2793
Phone
(630) 580-9462
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mr. Prashant Patel, PHARM.D.
Title
President
Phone
(847) 858-4776

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 054-17758 IL
Oxygen Equipment & Supplies (DME) 332BX2000X 054-17758 IL
Pharmacy 333600000X 054-17758 IN Primary
Community/Retail Pharmacy 3336C0003X 054-17758 IL
Compounding Pharmacy 3336C0004X 054-17758 IL
Specialty Pharmacy 3336S0011X 054-17758 IL

Addresses

Primary practice location

501 Thornhill Dr
Suite B
Carol Stream, IL 60188-2793

Mailing address

501 Thornhill Dr
Suite B
Carol Stream, IL 60188-2793
Phone (630) 580-9462

Other identifiers 1

IdentifierTypeStateIssuer
054-17758OtherILIL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1831472299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 THORNHILL DR",
            "address_2": "SUITE B",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882793",
            "telephone_number": "630-580-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 THORNHILL DR",
            "address_2": "SUITE B",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882793",
            "telephone_number": "630-580-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA KEA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-858-4776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054-17758",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "054-17758",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "054-17758",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-17758",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IL",
            "license": "054-17758",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054-17758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "054-17758",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.