PROHEALTH PHARMACY LLC (NPI# 1326340746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326340746 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PHARMACY LLC |
| Practice Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8153875642 |
| Practice Fax Number | 8153164638 |
| Mailing Telephone | 8153875642 |
| Mailing Fax Number | 8153164638 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | MR. STEPHEN PAUL SCHMIDT (CFO) |
| Authorized Official Telephone | 8153875642 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871156547 | Prohealth Pharmacy LLC | Pharmacy | 4709 Golf Rd Ste 110, Skokie, IL 60076-1238 | 2019-04-18 |
| Street Address |
1021 N MULFORD RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-3877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639230303 | Susan Feder Slobard | Psychiatry & Neurology | 1021 N Mulford Rd, Ste 1, Rockford, IL 61107-3877 | 2006-12-13 |
| 1831797257 | Jordin Marie Kirk | Social Worker | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2020-10-16 |
| 1306464185 | Lisa Espig | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2020-07-08 |
| 1710502638 | Adam Sommerfeld | Social Worker | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2020-06-16 |
| 1073021192 | Glen Forneris | Social Worker | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2018-01-11 |
| 1710412143 | John Tumino | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-04-24 |
| 1992239370 | Thomas Kaltenecker | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-04-12 |
| 1215468293 | Lisa Wiersema | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-03-22 |
| 1851832570 | Lashonda Walker | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-03-14 |
| 1649710112 | Katherine Deckard-gonzales | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3877 | 2017-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790791 | Javon Bea Hospital | Pharmacy | 8201 E Riverside Blvd Ste 1022, Rockford, IL 61114-2300 | 2018-11-27 |
| 1265929749 | Pointcore, Inc. | Pharmacy | 5666 E State St Ste 101, Rockford, IL 61108-2425 | 2018-04-19 |
| 1831558618 | Walgreen Co | Pharmacy | 1100 Broadway Ste 102, Rockford, IL 61104-1429 | 2016-02-22 |
| 1285025346 | Hodels-rubens Pharmacy | Pharmacy | 1029 S Main St, Rockford, IL 61101-1417 | 2015-02-11 |
| 1932116969 | Walgreen Co | Pharmacy | 2323 Charles St, Rockford, IL 61104-1550 | 2006-08-02 |
| 1699780841 | Walgreen Co | Pharmacy | 3803 Auburn St, Rockford, IL 61101-2501 | 2006-07-29 |
| 1235144403 | Walgreen Co | Pharmacy | 2525 S Alpine Rd, Rockford, IL 61108-7812 | 2006-07-29 |
| 1952344335 | Highland Park Cvs LLC | Pharmacy | 2454 S Alpine Rd, Rockford, IL 61108-7882 | 2006-06-14 |
| 1366483232 | Highland Park Cvs LLC | Pharmacy | 3134 11th St, Rockford, IL 61109-2273 | 2006-06-09 |
| 1548201411 | Highland Park Cvs LLC | Pharmacy | 3718 N Main St, Rockford, IL 61103-1612 | 2006-06-09 |
| Find all providers in ROCKFORD | ||||
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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.