TRUE HEALTH MEDICAL CENTER S C (NPI# 1093971624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093971624 |
| Entity Type | Organization |
| Organization Name | TRUE HEALTH MEDICAL CENTER S C |
| Other Organization Name | PURE COMPOUNDING PHARMACY |
| Practice Address |
603 E Diehl Rd Ste 131 Naperville IL 60563-1452 |
| Practice Telephone | 6309954300 |
| Practice Fax Number | 6309954301 |
| Mailing Telephone | 6309954300 |
| Mailing Fax Number | 6309954301 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | LESLIE FERGUSON (PIC) |
| Authorized Official Telephone | 6309954300 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
0540161636 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2116405 | 01 |
| Other Name | Type Code |
|---|---|
| PURE COMPOUNDING PHARMACY | Doing Business As Name - Organization |
| Street Address |
603 E DIEHL RD STE 131 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989070 | Richard L Gelband | Chiropractor | 603 E Diehl Rd, Suite 135, Naperville, IL 60563-1452 | 2005-11-15 |
| 1508406588 | Ketamine Wellness Centers Chicago, LLC | Registered Nurse | 603 E Diehl Rd, Naperville, IL 60563-1452 | 2020-01-08 |
| 1770121063 | Fjorda Jusufi | Behavior Technician | 603 E Diehl Rd, Suite 123, Naperville, IL 60563 | 2019-12-17 |
| 1104472588 | Shagun Doshi | Behavior Technician | 603 E Diehl Rd, Naperville, IL 60563-1452 | 2019-08-12 |
| 1396306122 | Rebecca Viant | Behavioral Analyst | 603 E Diehl Rd, Naperville, IL 60563-1452 | 2019-06-24 |
| 1366006538 | Rebecca Benson | Behavior Technician | 603 E Diehl Rd, Naperville, IL 60563-1452 | 2019-04-23 |
| 1245704279 | Christian Herrera | Behavioral Analyst | 603 E Diehl Rd, Suite 123, Naperville, IL 60440 | 2019-01-12 |
| 1215407259 | Jocelyne Montoya | Behavior Technician | 603 E Diehl Rd, Naperville, IL 60563-1452 | 2018-12-03 |
| 1699243048 | Marina Ibrahim | Behavior Technician | 603 E Diehl Rd, Naperville, IL 60563-1452 | 2018-11-04 |
| 1285118455 | Aniyah Jones | Behavior Technician | 603 E Diehl Rd, Naperville, IL 60563-1452 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936132 | Aafiyah Solutions Inc | Pharmacy | 1041 W Golf Rd, Hoffman Estates, IL 60169-1339 | 2019-11-11 |
| 1265805592 | Professional Pharmacy Inc | Pharmacy | 2069 Barrington Rd, Hoffman Estates, IL 60169-2086 | 2015-11-09 |
| 1861880833 | Al-machnee Inc | Pharmacy | 7953 S Cicero Ave, Chicago, IL 60652-2037 | 2014-12-29 |
| 1083002034 | Premier Family Pharmacy Inc | Pharmacy | 5600 W 87th St Ste B, Burbank, IL 60459-2902 | 2014-12-29 |
| 1699189134 | Custom Care Pharmacy LLC | Pharmacy | 7007 North Ave, Oak Park, IL 60302-1001 | 2014-06-12 |
| 1588082127 | Bolingbrook Compounding Pharmacy | Pharmacy | 402 W Boughton Rd Ste C, Bolingbrook, IL 60440-1985 | 2014-04-01 |
| 1588906507 | Pill Shop Pharmacy Inc | Pharmacy | 3535 E New York St Ste 117, Aurora, IL 60504-4466 | 2013-03-18 |
| 1285970574 | Northern Rx LLC | Pharmacy | 2012 E. Nw Hwy., Arlington Heights, IL 60004 | 2012-12-14 |
| 1376802462 | Rock Valley Compounding Pharmacy LLC | Pharmacy | 811 S Perryville Rd Unit 109, Rockford, IL 61108-4323 | 2012-05-09 |
| 1306102728 | Propharm Rx Inc | Pharmacy | 115 S Macoupin St, Gillespie, IL 62033-1516 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.