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LIFE SOURCE PHARMACY, INC
NPI 1821316647
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since May 05, 2010
11238 S WESTERN AVE, CHICAGO, IL 60643(773) 321-2656(773) 941-4294 Get Directions Write a Review

NPPES record last updated: March 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Source Pharmacy, Inc NPPES

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

LIFE SOURCE PHARMACY, INC (NPI 1821316647) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since May 2010. The organization lists Prashant Patel, President, as its authorized official.

NPPES Registry Identity

NPI1821316647
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIFE SOURCE PHARMACY INC
Location Address11238 S WESTERN AVEChicago, IL 60643-4116
Mailing Address5 Osprey CtStreamwood, IL 60107-2813 · (773) 321-2656
Phone(773) 321-2656
Fax(773) 941-4294
Organization SubpartNo
Authorized OfficialPrashant PatelPresident · (773) 321-2656
Enumeration DateMay 5, 2010
Last NPPES UpdateMarch 22, 2015
✔ NPI 1821316647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IL · 054-017353
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
11238 S WESTERN AVE, Chicago, IL 60643
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Other Names 1

Doing Business AsLife Source Pharmacy, Inc

Other Identifiers 1

Other2124980Pk

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 ›

Other Providers at the Same Location NPPES 4

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

PATWAL, PC
Clinic/Center (Dental)
11238 S WESTERN AVE
CHICAGO, IL 60643
Cook County (708) 388-0001
JACQUELINE M KHILFEH FNP
Nurse Practitioner (Family)
11238 S WESTERN AVE
CHICAGO, IL 60643
Cook County (708) 200-6615
DR. RAVEENA SHAH DDS
Dentist (General Practice)
11238 S WESTERN AVE
CHICAGO, IL 60643
Cook County (708) 388-0001
MAUREEN MCSHANE DPM LLC
Podiatrist
11238 S WESTERN AVE
CHICAGO, IL 60643
Cook County (773) 233-0990

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 Life Source Pharmacy Inc's NPI number?

The NPI number for Life Source Pharmacy Inc is 1821316647. It was assigned to this organization in the NPPES registry on May 5, 2010. The provider is doing business as Life Source Pharmacy, Inc.

Where is Life Source Pharmacy Inc located?

Life Source Pharmacy Inc is located at 11238 S Western Ave, Chicago, IL 60643. The listed phone number is (773) 321-2656.

What is Life Source Pharmacy Inc's specialty?

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

What insurance does Life Source Pharmacy Inc 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 49 other insurers list Life Source Pharmacy Inc 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 Life Source Pharmacy Inc was last updated on March 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.