ADVANCED CARE RX LLC
NPI 1356843072
Pharmacy - Community/Retail Pharmacy in Chicago, IL
- Organization
- Pharmacy
- Community/Retail Pharmacy
- CLIA Number: 14D2132371
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2026
About ADVANCED CARE RX LLC
This page provides the complete NPI Profile along with additional information for Advanced Care Rx Llc, a provider established in Chicago, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1356843072 assigned on March 2018. The practitioner's primary taxonomy code is 3336C0003X with license number 054.020654 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Arash Raei Pharmd (Pharmacist In Charge)
- NPI
- 1356843072 Verify this NPI
- Provider Name
- ADVANCED CARE RX LLC
- Entity Type
- Organization
- Location Address
- 11422 S WESTERN AVE STE 101 CHICAGO, IL 60643
- Location Phone
- (312) 834-5293
- Mailing Address
- 11422 S WESTERN AVE STE 101 CHICAGO, IL 60643
- Mailing Phone
- (312) 834-5293
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-08-2018
- Last Update Date
- 08-13-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- 054.020654
- License State
- IL
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2132371
- Facility Type
- Physician Office
- Certificate Effective Date
- March 07, 2024
- Certificate Expiration Date
- July 31, 2026
- Laboratory Director
- ISMAIL ABEDALQADER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Advanced Care Rx Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356843072, enumerated as an "organization" on March 08, 2018.
The provider is located at 11422 S WESTERN AVE STE 101 CHICAGO, IL 60643 and the phone number is (312) 834-5293.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
