OrganizationActive
Life Source Pharmacy Inc
NPI 1821316647 · Community/Retail Pharmacy · Chicago, IL
Life Source Pharmacy Inc is a Community/Retail Pharmacy organization in Chicago, IL (NPI 1821316647).
Provider details
- NPI number
- 1821316647
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Prashant Patel, President(773) 321-2656
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11238 S Western Ave
Chicago, IL 60643-4116
Phone: (773) 321-2656
Fax: (773) 941-4294
Street-level locationGet directions
Mailing address
5 Osprey Ct
Streamwood, IL 60107-2813
Other names (DBA / former)
- Doing business as
- Life Source Pharmacy, Inc
Registry dates
- Enumerated
- 2010-05-05
- Last updated
- 2015-03-22
Frequently asked questions
- What is Life Source Pharmacy Inc's NPI number?
- Life Source Pharmacy Inc's National Provider Identifier (NPI) is 1821316647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Source Pharmacy Inc?
- Life Source Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Life Source Pharmacy Inc located?
- Life Source Pharmacy Inc's practice location on file with NPPES is 11238 S Western Ave, Chicago, IL 60643-4116.
- What is Life Source Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Source Pharmacy Inc is (773) 321-2656.
- Who is the authorized official for Life Source Pharmacy Inc?
- The authorized official listed on Life Source Pharmacy Inc's NPPES record is Prashant Patel, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Source Pharmacy Inc's NPI active?
- Yes — Life Source Pharmacy Inc's NPI (1821316647) is active in the NPPES registry as of the last update on 2015-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.