NPI 1184675910 · live from the CMS NPI Registry
Accredo Health Group INC
Pharmacy in Elmhurst, IL. National Provider Identifier 1184675910, active.
NPI record
| NPI | 1184675910 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 650 W Grand Ave, Ste 102, Elmhurst, IL 60126 |
| Practice phone | 630-279-7390 |
| Mailing address | Po Box 954041, Saint Louis, MO 63195 |
| Enumerated | May 15, 2006 |
| Last updated | December 5, 2025 |
| Authorized official | Vic Perini, Assistant Secretary |
| Other names | Accredo Health Group INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy primary | 333600000X | 054013616 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.