Organization Active NPI

Desna Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Wheeling, IL
National Provider Identifier
1972926244
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Marina FefermanNPI 1346461001
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20140702001057 IL DME Supplier - Pharmacy 5496970626 Practice locations: Wheeling, IL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Desna Pharmacy Inc.307 S Milwaukee Ave, Wheeling, IL 60090-5035(847) 229-5477 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 15, 2014

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.