Active NPI
Desna Pharmacy, Inc.
- Community/Retail Pharmacy
- Wheeling, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DESNA PHARMACY, INC.
- Practice address
- 307 S Milwaukee Ave
Suite 109
Wheeling, IL 60090-5076 - Phone
- (847) 229-5477
- Fax
- (847) 229-8448
- NPI assigned
- Jan 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marina Feferman
- Title
- Secretary
- Phone
- (847) 845-2180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | IL | ||
| Pharmacy | 333600000X | IL | ||
| Community/Retail Pharmacy | 3336C0003X | IL | Primary | |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
307 S Milwaukee Ave
Suite 109
Wheeling, IL 60090-5076
Mailing address
843 Tall Grass LN
Mundelein, IL 60060-4565
Phone (847) 845-2180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140702001057 | IL | DME Supplier - Pharmacy | 5496970626 | Practice locations: Wheeling, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Desna Pharmacy Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
307 S Milwaukee Ave
Ste 109
Wheeling, IL 60090
Phone (847) 229-5477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wheeling, IL
- NPI 1346461001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404950400000",
"number": "1972926244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 TALL GRASS LN",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600604565",
"telephone_number": "847-845-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S MILWAUKEE AVE",
"address_2": "SUITE 109",
"city": "WHEELING",
"state": "IL",
"postal_code": "600905076",
"telephone_number": "847-229-5477",
"fax_number": "847-229-8448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESNA PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-22",
"last_updated": "2014-07-10",
"status": "A",
"authorized_official_last_name": "FEFERMAN",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "847-845-2180"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.