HEENA VITAL RX, INC.


Address: 1525 E 55th St Ste 103, Chicago, IL 60615-5514
Phone: 7082578333

HEENA VITAL RX, INC. (NPI# 1427698349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427698349
Entity Type Organization
Organization Name HEENA VITAL RX, INC.
Practice Address 1525 E 55th St Ste 103
Chicago
IL 60615-5514
Mailing Address 2837 N Milwaukee Ave
Chicago
IL 60618-7403
Practice Telephone 7082578333
Practice Fax Number 7085900812
Mailing Telephone 7082578333
Enumeration Date 2020-01-08
Last Update Date 2020-07-14
Authorized Official Name ANUP NARAYAN DOSHI (OWNER)
Authorized Official Telephone 7082578333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Office Location

Street Address 1525 E 55TH ST STE 103
City CHICAGO
State IL
Zip Code 60615-5514

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1528577632 Jonah Waseberg Counselor 1100 E.55th St, Chicago, IL 60615 2017-09-21
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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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1952944563 Ameer Pharmacy Inc. Pharmacy 104 W 111th St, Chicago, IL 60628-4215 2019-10-26
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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
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Competitor

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City CHICAGO
Zip Code 60615

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Dataset Information

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.

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