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SIMPLY PURE RX INC NPI 1750749297


NPI Information

NPI: 1750749297
Provider Name: SIMPLY PURE RX INC

Doing Business As: SIMPLY PURE RX

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 14D2196599

Address:
1607 BENSON AVE
EVANSTON, IL
ZIP 60201
Phone: (847) 227-8020
Get Directions

SIMPLY PURE RX INC is a community/retail pharmacy pharmacy in Evanston, IL. The provider is 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. SIMPLY PURE RX INC NPI is 1750749297. The provider is registered as an organization entity type.
The provider Is Doing Business As Simply Pure Rx.

The provider's business location address is:

1607 BENSON AVE
EVANSTON, IL
ZIP 60201-717
Phone: (847) 227-8020
Fax: (847) 868-8426

The provider's authorized official is Sami Musleh .
The authorized official title is Co-owner/chief Pharmacist and has the following contact phone number (708) 227-0505.

The CLIA number assigned to this NPI record is 14D2196599 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2016 and was last updated on 3/3/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy054019323ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12157929OTHERPK

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: 4/28/2024

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