NPIMap

Organization Active NPI

United RX LLC

  • Long Term Care Pharmacy
  • Hillside, IL
National Provider Identifier
1952532517
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054.017620 Issued in IL
Legal business name
UNITED RX LLC
Doing business as
United Rx, LLC
Practice address
150 Fencl LN
Hillside, IL 60162-2041
Phone
(708) 449-7600
Fax
(855) 422-0782
NPI assigned
Jul 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Charles Benain
Title
Coo
Phone
(708) 375-5704

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 64001052A IN
Long Term Care Pharmacy 3336L0003X NRPS.022500850-03 OH
Long Term Care Pharmacy 3336L0003X 054.017620 IL Primary
Long Term Care Pharmacy 3336L0003X 2014032504 MO
Long Term Care Pharmacy 3336L0003X 22-44746 KS
Long Term Care Pharmacy 3336L0003X NP000322 PA
Long Term Care Pharmacy 3336L0003X 1415-43 WI
Long Term Care Pharmacy 3336L0003X 5301010729 MI

Addresses

Primary practice location

150 Fencl LN
Hillside, IL 60162-2041

Mailing address

150 Fencl LN
Suite 101
Hillside, IL 60162-2041
Phone (708) 449-7600

Other identifiers 8

IdentifierTypeStateIssuer
201109830AMedicaidKS
2121566OtherPK
0153914MedicaidOH
1952532517MedicaidMO
200976860AMedicaidIN
7100377850MedicaidKY
100043156MedicaidWI
1952532517MedicaidMI

Other names 1

  • United Rx, LLC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930054434 IL DME Supplier - Pharmacy 2860682572 Practice locations: Hillside, IL
O20120302000533 IL Part B Supplier - Mass Immunization (Roster Biller Only) 2860682572 1 other NPI on this enrollment
Practice locations: Carbondale, IL; Hillside, IL

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
United RX LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

150 Fencl Ln
Ste 101
Hillside, IL 60162

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abundant Christian Living Community Rehabilitation CenterJohnson City, TN, CCN 445483 Skilled nursing facility Adp of the SNF Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1952532517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FENCL LN",
            "address_2": "SUITE 101",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622041",
            "telephone_number": "708-449-7600",
            "fax_number": "855-422-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FENCL LN",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622041",
            "telephone_number": "708-449-7600",
            "fax_number": "855-422-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "BENAIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "708-375-5704"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "64001052A",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "NRPS.022500850-03",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054.017620",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2014032504",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "22-44746",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "NP000322",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "1415-43",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301010729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201109830A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121566",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153914",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952532517",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200976860A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100377850",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100043156",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952532517",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Rx, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillside, IL

Sources for this page

Verify at the official NPI Registry.