Prohealth Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PROHEALTH PHARMACY LLC

Practice address

4709 Golf Rd Ste 110
Skokie, IL 60076-1238

Phone

(847) 423-2242

Fax

(847) 423-2249

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rushik Patel, PHARMD

Title

Pharmacy Manager

Phone

(847) 423-2242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Prohealth Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prohealth Pharmacy LLC

  • Long Term Care Pharmacy
  • Skokie, IL
  • NPI 1497504617
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajesh Punnoose

  • Pharmacist
  • Skokie, IL
  • NPI 1912700071
  NPD (past)

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1871156547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 110",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761238",
            "telephone_number": "847-423-2242",
            "fax_number": "847-423-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 110",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761238",
            "telephone_number": "847-423-2242",
            "fax_number": "847-423-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUSHIK",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "847-423-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Prince, DMD
• Pro Active Health Services, Inc.
• Pro Health Medical Group
• Proficient Home Health Care Inc
• Prohealth Pharmacy LLC
• Prolife Home Health Care, Inc.
• Kimberly Niccole Prugh, LMFT
• Holly F Przekota, MS CCC SLP
• Psychiatric Medicine Assoc LLC
• Psychiatric Wellness LLC

• Community/Retail Pharmacy in Skokie, IL
• Providers in Skokie, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.