Provena Pharmacy Elgin
Provena Pharmacy Elgin is a healthcare organization registered as Community/Retail Pharmacy in Elgin, IL, holding Type 2 (organization) NPI 1811902455 since 2006. The authorized official on file is Satya Rao, Dir of Phcy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1811902455 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Provena Pharmacy Elgin |
| Practice address | 750 FLETCHER DR, STE 103, Elgin, IL, 60123 |
| Phone | 8479315535 |
| Fax | 8496222072 |
| Enumeration date | 2006-07-30 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Satya Rao |
|---|---|
| Title | Dir of Phcy |
| Phone | 8476953200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0002X | Clinic Pharmacy | Secondary | 54013758 | IL |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1460803 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Provena Pharmacy Elgin NPI: 1811902455 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 750 FLETCHER DR, STE 103, Elgin, IL, 60123
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518946391 | Edwin Patrick | Individual | Orthopedic Chiropractor | Elgin, IL |
| 1427001841 | Renee Mcmurry | Individual | Chiropractor | Elgin, IL |
| 1568496511 | Enhanced Medical Imaging of Elgin LLC | Organization | Diagnostic Radiology Physician | Elgin, IL |
| 1194745000 | Patrick Chiropractic Services P.C. | Organization | Orthopedic Chiropractor | Elgin, IL |
| 1821199910 | Kenneth Jacoby | Individual | Foot & Ankle Surgery Podiatrist | Elgin, IL |
| 1285720219 | Anna Maria Richmond | Individual | Physical Therapist | Elgin, IL |
| 1235227851 | Beata Bialon-Oster | Individual | Foot Surgery Podiatrist | Elgin, IL |
| 1245307289 | Syed Quadri | Individual | Family Medicine Physician | Elgin, IL |
Verify this record
Cross-check NPI 1811902455 against the authoritative CMS record: view Provena Pharmacy Elgin on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Provena Pharmacy Elgin located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-09-11.