Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provena Pharmacy Elgin

Organization Clinic Pharmacy · NPI 1811902455

Provena Pharmacy Elgin is a Clinic Pharmacy in Elgin, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

750 Fletcher Dr Ste 103
Elgin, IL 60123-4703
Phone: (847) 931-5535
Fax: (849) 622-2072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Clinic Pharmacy Taxonomy 3336C0002X · Licence 54013758 (IL)

Record details

NPI number1811902455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Satya Rao — Dir Of Phcy · (847) 695-3200
NPI enumeratedJuly 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address750 Fletcher Dr, Ste 103, Elgin, IL 60123-4703

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