LOCAL HEALTH, LLC (NPI# 1104281138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104281138 |
| Entity Type | Organization |
| Organization Name | LOCAL HEALTH, LLC |
| Other Organization Name | WATERMAN TELEPHARMACY |
| Practice Address |
2215 W 95th St Chicago IL 60643-1001 |
| Practice Telephone | 8152831054 |
| Practice Fax Number | 8152831038 |
| Mailing Telephone | 8152831054 |
| Mailing Fax Number | 8152831038 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | BRYNA KHAN (MANAGER) |
| Authorized Official Telephone | 7736735493 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.019839 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2156044 | 01 |
| Other Name | Type Code |
|---|---|
| Local Health Pharmacy - Beverly | Doing Business As Name - Organization |
| Waterman Telepharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629438841 | Local Health, LLC | Pharmacy | 102 E Front St, Fisher, IL 61843-9457 | 2016-03-01 |
| 1033579255 | Local Health, LLC | Pharmacy | 503 S Commercial Dr, Abingdon, IL 61410-1603 | 2016-03-01 |
| 1164882379 | Local Health, LLC | Pharmacy | 707 Main St, Erie, IL 61250-7772 | 2016-03-01 |
| 1730549957 | Local Health, LLC | Pharmacy | 712 N Main St, Georgetown, IL 61846-1440 | 2016-03-01 |
| 1962867929 | Local Health, LLC | Pharmacy | 134 S Main St, Sheffield, IL 61361-9357 | 2015-12-17 |
| 1457358202 | Local Health, LLC | Pharmacy | 108 E Main St, Elmwood, IL 61529-7963 | 2005-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | LOCAL HEALTH, LLC | 105 Iowa Ave Ste 231, Iowa City, IA 52240 |
| Street Address |
2215 W 95TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089573 | Carolyn Suzette Champion | Counselor | 2215 W 95th St, Chicago, IL 60643-1001 | 2020-03-26 |
| 1477037802 | K.a.m Alliance, Inc. | Case Manager/Care Coordinator | 2215 W 95th St, #100, Chicago, IL 60643-1001 | 2018-09-21 |
| 1235666835 | Ephraim Pharmacy Inc. | Pharmacy | 2215 W 95th St, Chicago, IL 60643 | 2017-05-15 |
| 1609316389 | Royalty Intervention Group, Inc | Family Medicine | 2215 W 95th St, 1 East, Chicago, IL 60643-1001 | 2017-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1558994921 | Diaz Holdings, Inc. | Pharmacy | 3204 W Lawrence Ave, Chicago, IL 60625-5209 | 2020-02-13 |
| 1427698349 | Heena Vital Rx, Inc. | Pharmacy | 1525 E 55th St Ste 103, Chicago, IL 60615-5514 | 2020-01-08 |
| 1952944563 | Ameer Pharmacy Inc. | Pharmacy | 104 W 111th St, Chicago, IL 60628-4215 | 2019-10-26 |
| 1255981106 | Elsdon Pharmacy, Inc. | Pharmacy | 4254 W 55th St Ste 100, Chicago, IL 60632-4642 | 2019-09-12 |
| 1346702669 | Cardinal Health 132 LLC | Pharmacy | 641 W 63rd St Ste 100, Chicago, IL 60621-2032 | 2019-04-04 |
| 1245703982 | Luna Pharmacy At Madison LLC | Pharmacy | 3171 W Madison St Ste 2, Chicago, IL 60612-1809 | 2019-01-04 |
| 1427534742 | Genoa Healthcare, LLC | Pharmacy | 4318 S State St Ste 26, Chicago, IL 60609-3701 | 2018-07-19 |
| 1356843072 | Advanced Care Rx LLC | Pharmacy | 11422 S Western Ave Ste 101, Chicago, IL 60643-4120 | 2018-03-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.