Provider Demographics
NPI:1518914464
Name:RX CONSULT INC
Entity Type:Organization
Organization Name:RX CONSULT INC
Other - Org Name:HEALTH OPTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:VERNON
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:618-443-1155
Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:110 SOUTH MARKET STR
Mailing Address - City:SPARTA
Mailing Address - State:IL
Mailing Address - Zip Code:62286
Mailing Address - Country:US
Mailing Address - Phone:618-443-1155
Mailing Address - Fax:618-443-2547
Practice Address - Street 1:110 SOUTH MARKET STR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:IL
Practice Address - Zip Code:62286
Practice Address - Country:US
Practice Address - Phone:618-443-1155
Practice Address - Fax:618-443-2547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054011128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3741235291001Medicaid
IL3741235291001Medicaid