Provider Demographics
NPI:1144772880
Name:CAREPOINT EXPRESS LLC
Entity Type:Organization
Organization Name:CAREPOINT EXPRESS LLC
Other - Org Name:CAREPOINT EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-237-9112
Mailing Address - Street 1:PO BOX 71925
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60694-1925
Mailing Address - Country:US
Mailing Address - Phone:855-237-9112
Mailing Address - Fax:855-237-9113
Practice Address - Street 1:33 E IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-2017
Practice Address - Country:US
Practice Address - Phone:855-237-9112
Practice Address - Fax:855-237-9113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
IL054.0200853336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2165969OtherPK