ILLINOIS COMPOUNDING PHARMACY INC
NPI 1760283410
Pharmacy - Compounding Pharmacy in Libertyville, IL

Q: What is Illinois Compounding Pharmacy Inc's NPI number?

The NPI number for Illinois Compounding Pharmacy Inc is 1760283410. It was assigned to this organization in the NPPES registry on March 20, 2025.

Q: What is Illinois Compounding Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

Active since March 20, 2025

1117 S MILWAUKEE AVE STE A2, LIBERTYVILLE, IL 60048(847) 242-8281(847) 232-7425 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Illinois Compounding Pharmacy Inc NPPES

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

ILLINOIS COMPOUNDING PHARMACY INC (NPI 1760283410) is a healthcare organization registered as a compounding pharmacy in Libertyville, Illinois and active in the NPI registry since March 2025. The organization lists Tushar Mehta, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1760283410

Entity TypeOrganization

Primary Taxonomy3336C0004X

Legal Business NameILLINOIS COMPOUNDING PHARMACY INC

Location Address1117 S MILWAUKEE AVE STE A2Libertyville, IL 60048-3754

Mailing Address310 Ottawa LnOak Brook, IL 60523-2788 · (630) 430-3663

Phone(847) 242-8281

Fax(847) 232-7425

Organization SubpartNo

Authorized OfficialTushar MehtaPharmacy Manager · (630) 430-3663

Enumeration DateMarch 20, 2025

NPPES CertifiedMarch 20, 2025

✔ NPI 1760283410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers

Taxonomy Code3336C0004X

Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

1117 S MILWAUKEE AVE STE A2, Libertyville, IL 60048

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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 Illinois Compounding Pharmacy Inc's NPI number?

The NPI number for Illinois Compounding Pharmacy Inc is 1760283410. It was assigned to this organization in the NPPES registry on March 20, 2025.

Where is Illinois Compounding Pharmacy Inc located?

Illinois Compounding Pharmacy Inc is located at 1117 S Milwaukee Ave Ste A2, Libertyville, IL 60048. The listed phone number is (847) 242-8281.

What is Illinois Compounding Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Illinois Compounding Pharmacy Inc was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.