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PRIME PLUS LAKEVIEW
NPI 1700636271
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since March 26, 2024
3156 N. CLARK, CHICAGO, IL 60657(773) 568-8340 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Plus Lakeview NPPES

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

PRIME PLUS LAKEVIEW (NPI 1700636271) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since March 2024. The organization lists Inas Dahabra, Member, President, as its authorized official.

NPPES Registry Identity

NPI1700636271
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOM MED, LLC
Location Address3156 N. CLARKChicago, IL 60657
Mailing Address3156 N. ClarkChicago, IL 60657 · (708) 289-6721
Phone(773) 568-8340
Organization SubpartYesParent: Custom Med Llc
Authorized OfficialInas DahabraMember, President · (708) 289-6721
Enumeration DateMarch 26, 2024
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1700636271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedPharmacistTaxonomy 183500000X
3156 N. CLARK, Chicago, IL 60657
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Other Names 1

Doing Business AsPrime Plus Lakeview

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 Custom Med, LLC's NPI number?

The NPI number for Custom Med, LLC is 1700636271. It was assigned to this organization in the NPPES registry on March 26, 2024. The provider is doing business as Prime Plus Lakeview.

Where is Custom Med, LLC located?

Custom Med, LLC is located at 3156 N. Clark, Chicago, IL 60657. The listed phone number is (773) 568-8340.

What is Custom Med, LLC's specialty?

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

What insurance does Custom Med, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 40 other insurers list Custom Med, 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 Custom Med, LLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.