Prism Pharmcy Des Plaines Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PRISM PHARMCY DES PLAINES INC

Practice address

380 E Northwest Hwy Ste 201
Des Plaines, IL 60016-2274

Phone

(630) 550-2215

NPI assigned

Apr 13, 2023

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samar ShethNPI 1881178077

Title

Owner/Pharmacist

Phone

(630) 550-2215

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samar Sheth

  • Pharmacist
  • Elgin, IL
  • NPI 1881178077
  NPD (past) Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1952097925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 EAGLE BROOK LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654431",
            "telephone_number": "630-550-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 201",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "630-550-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM PHARMCY DES PLAINES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "630-550-2215"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.