Rajesh Punnoose

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.296174 Issued in IL

Practice address

4709 Golf Rd Ste 110
Skokie, IL 60076-1238

Phone

(847) 423-2242

NPI assigned

Mar 31, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prohealth Pharmacy LLC

  • Long Term Care Pharmacy
  • Skokie, IL
  • NPI 1497504617
  NPD
• Prohealth Pharmacy LLC

  • Community/Retail Pharmacy
  • Skokie, IL
  • NPI 1871156547
  NPD (past)

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1912700071",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNNOOSE",
        "first_name": "RAJESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.296174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychiatric Wellness LLC
• Psychoeducational Resource Services
• Matthew Allen Ptack, PA-C
• Peter Charles Puleo, R.PH.
• Alvina Pullukat, PHARMD
• Sheila Valencia Punzalan, DPT
• Lisa P. Purdy, MD
• Lalit Puri, MD
• Kathleen Pyles, FNP-BC
• Tetyana Pytel, APN

• Pharmacist in Skokie, IL
• Providers in Skokie, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.