Illinois Compounding Pharmacy Inc
NPI 1760283410ActiveOrganization· Pharmacy, Compounding Pharmacy· Libertyville, IL
Pharmacy, Compounding Pharmacy in Libertyville, Illinois, registered in NPPES in March 2025. The authorized official on file is Tushar Mehta, RPH, Pharmacy Manager.
Overview
| NPI | 1760283410 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2025 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|