PROVENA PHARMACY ELGIN
NPI 1811902455
Pharmacy - Community/Retail Pharmacy in Elgin, IL

Active since July 30, 2006
750 FLETCHER DR, STE 103, ELGIN, IL 60123(847) 931-5535(849) 622-2072 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Provena Pharmacy Elgin NPPES

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

PROVENA PHARMACY ELGIN (NPI 1811902455) is a healthcare organization registered as a community/retail pharmacy in Elgin, Illinois and active in the NPI registry since July 2006. The organization lists Satya Rao, Dir Of Phcy, as its authorized official.

NPPES Registry Identity

NPI1811902455
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROVENA PHARMACY ELGIN
Location Address750 FLETCHER DR, STE 103Elgin, IL 60123-4703
Mailing Address750 Fletcher Dr, Ste 103Elgin, IL 60123-4703
Fax(849) 622-2072
Organization SubpartNo
Authorized OfficialSatya RaoDir Of Phcy · (847) 695-3200
Enumeration DateJuly 30, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1811902455 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 ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X · License 54013758 (IL)

Other Identifiers 1

Other1460803Other Id Number-commercial Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Orthopedic)
750 FLETCHER DR, #304
ELGIN, IL 60123
Podiatrist (Foot Surgery)
750 FLETCHER DR, STE 300
ELGIN, IL 60123
Family Medicine
750 FLETCHER DR, SUITE 305
ELGIN, IL 60123
Physical Therapist
750 FLETCHER DR, SUITE 105
ELGIN, IL 60123
Chiropractor
750 FLETCHER DR, SUITE 304
ELGIN, IL 60123
Chiropractor
750 FLETCHER DR, SUITE 304
ELGIN, IL 60123
Chiropractor (Orthopedic)
750 FLETCHER DR, SUITE 304
ELGIN, IL 60123
Radiology (Diagnostic Radiology)
750 FLETCHER DR
ELGIN, IL 60123

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 Provena Pharmacy Elgin's NPI number?

The NPI number for Provena Pharmacy Elgin is 1811902455. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Provena Pharmacy Elgin located?

Provena Pharmacy Elgin is located at 750 Fletcher Dr Ste 103, Elgin, IL 60123. The listed phone number is (847) 931-5535.

What is Provena Pharmacy Elgin's specialty?

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

When was this NPI record last updated?

The NPPES record for Provena Pharmacy Elgin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.