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ASCENSION PHARMACY SERVICES LLC. NPI 1538252184


NPI Information

NPI: 1538252184
Provider Name: ASCENSION PHARMACY SERVICES, LLC.

Doing Business As: ASCENSION RX 2700

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 14D0412301

Address:
100 N RIVER RD STE G122
DES PLAINES, IL
ZIP 60016
Phone: (847) 581-0800
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ASCENSION PHARMACY SERVICES, LLC. is a long term care pharmacy pharmacy in Des Plaines, IL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ASCENSION PHARMACY SERVICES, LLC. NPI is 1538252184. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension Rx 2700.

The provider's business location address is:

100 N RIVER RD STE G122
DES PLAINES, IL
ZIP 60016-209
Phone: (847) 581-0800
Fax: (847) 410-4909

The provider's authorized official is Edgar Dem Auf Dem Graben .
The authorized official title is Pharmacy Manager and has the following contact phone number (847) 581-0800.

The CLIA number assigned to this NPI record is 14D0412301 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 4/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy054017075ILLINOISNo
43336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12024645OTHERPK
2237061646021MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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