PHARMBLUE ILLINOIS LLC
NPI 1699146720
Pharmacy - Community/Retail Pharmacy in La Salle, IL

Active since October 15, 2015
2960 CHARTRES ST STE 100, LA SALLE, IL 61301(724) 779-4720(844) 873-8758 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2017, Jun 17, 2016, Dec 8, 2015 and 1 more (4 updates tracked since 2015).

About Pharmblue Illinois Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHARMBLUE ILLINOIS LLC (NPI 1699146720) is a healthcare organization registered as a community/retail pharmacy in La Salle, Illinois and active in the NPI registry since October 2015. The organization lists Mike Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699146720
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMBLUE ILLINOIS LLC
Location Address2960 CHARTRES ST STE 100La Salle, IL 61301-1097
Mailing AddressPo Box 776309Chicago, IL 60677-6309 · (724) 779-4720 · Fax (724) 779-4721
Fax(844) 873-8758
Organization SubpartNo
Authorized OfficialMike NelsonCeo · (724) 779-4720
Enumeration DateOctober 15, 2015
Last NPPES UpdateMarch 24, 20174 updates tracked since enumeration
NPI 1699146720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IL · 054-019566
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.
Also ListedPharmacyTaxonomy 333600000X · License 265190 (MN)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
2960 CHARTRES ST STE 100, La Salle, IL 61301

Other Names 1

Doing Business AsPharmblue Illinois Llc

Other Identifiers 2

Medicaid454805748001IL
Other2154972Pk

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharmblue Illinois LLC's NPI number?

The NPI number for Pharmblue Illinois LLC is 1699146720. It was assigned to this organization in the NPPES registry on October 15, 2015.

Where is Pharmblue Illinois LLC located?

Pharmblue Illinois LLC is located at 2960 Chartres St Ste 100, La Salle, IL 61301. The listed phone number is (724) 779-4720.

What is Pharmblue Illinois LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Pharmblue Illinois LLC accept?

Health plans from Medica list Pharmblue Illinois LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pharmblue Illinois LLC was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.