Organization Active NPI

Third Coast RX LLC

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1861985194
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054020787 Issued in IL
Legal business name
THIRD COAST RX LLC
Practice address
5501 S Halsted St
Ste 147
Chicago, IL 60621-2229
Phone
(773) 359-8570
Fax
(773) 359-8571
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Akshar Patel
Title
Sole Director
Phone
(773) 359-8570

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054020787 IL Primary
Specialty Pharmacy 3336S0011X 054020787 IL

Addresses

Primary practice location

5501 S Halsted St
Ste 147
Chicago, IL 60621-2229

Mailing address

5501 S Halsted St Ste 147
Chicago, IL 60621-2229
Phone (773) 359-8570

Other identifiers 2

IdentifierTypeStateIssuer
300134199MedicaidIN
600175934MedicaidMO

Other names 2

  • Encore Pharmacy #125 Doing business as
  • Rhone Pharmacy- Chicago Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250331001070 IL DME Supplier - Pharmacy 4183016389 Practice locations: Chicago, IL
O20260501002940 IL Part B Supplier - Pharmacy 3476021031 Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Encore Pharmacy 1252 organizations share this tax ID, including this one
Part of
Founder Project RX Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

117 Luckney Station Rd
Flowood, MS 39232
Phone (601) 939-9353

800 8th Ave
Ste 130
Ft Worth, TX 76104
Phone (817) 335-5712

4703 Richmond Ave
Ste E
Houston, TX 77027
Phone (713) 627-2370

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1861985194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 S HALSTED ST STE 147",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212229",
            "telephone_number": "773-359-8570",
            "fax_number": "773-359-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S HALSTED ST",
            "address_2": "STE 147",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212229",
            "telephone_number": "773-359-8570",
            "fax_number": "773-359-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AKSHAR",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "773-359-8570"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054020787",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054020787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300134199",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600175934",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Pharmacy #125",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rhone Pharmacy- Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.