NPIMap

Organization Active NPI

Delivercarerx Pharmacy LLC

  • Community/Retail Pharmacy
  • Mount Prospect, IL
National Provider Identifier
1942670831
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DELIVERCARERX PHARMACY LLC
Doing business as
DeliverCareRx Pharmacy LLC
Practice address
1471 E Business Center Dr Ste 200
Mt Prospect, IL 60056-6058
Phone
(855) 965-1600
Fax
(855) 713-2340
NPI assigned
Oct 5, 2015
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Dave Krishna
Title
Ceo
Phone
(855) 965-1600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NP000018 PA
Community/Retail Pharmacy 3336C0003X Primary
Mail Order Pharmacy 3336M0002X 054.018162 IL

Addresses

Primary practice location

1471 E Business Center Dr Ste 200
Mt Prospect, IL 60056-6058

Mailing address

1471 E Business Center Dr Ste 200
Mt Prospect, IL 60056-6058
Phone (855) 965-1600

Other identifiers 1

IdentifierTypeStateIssuer
2154329OtherPK

Other names 1

  • DeliverCareRx Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Delivercarerx Pharmacy LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1942670831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 E BUSINESS CENTER DR STE 200",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566058",
            "telephone_number": "855-965-1600",
            "fax_number": "855-713-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 E BUSINESS CENTER DR STE 200",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566058",
            "telephone_number": "855-965-1600",
            "fax_number": "855-713-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERCARERX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-965-1600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "NP000018",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IL",
            "license": "054.018162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeliverCareRx Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeliverCareRx Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.