Nucara of Illinois LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NUCARA OF ILLINOIS LLC

Practice address

101 West Vallette Street
Elmhurst, IL 60126-3951

Phone

(630) 834-1223

Fax

(630) 834-6643

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Donald Albert Meyer, RPH

Title

Chief RPH

Phone

(630) 834-1223

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vallette Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851377279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WEST VALLETTE STREET",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263951",
            "telephone_number": "630-834-1223",
            "fax_number": "630-834-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST VALLETTE STREET",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263951",
            "telephone_number": "630-834-1223",
            "fax_number": "630-834-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCARA OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CHIEF RPH",
        "authorized_official_telephone_number": "630-834-1223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362356013001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vallette Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.