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

Vivent Pharmacy Illinois LLC

Organization Pharmacy · NPI 1003509019

Vivent Pharmacy Illinois LLC is a Pharmacy in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5537 N Broadway St Ste 101
Chicago, IL 60640-1405
Phone: (888) 655-2078
Fax: (872) 813-4226
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X

Record details

NPI number1003509019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Fields — Chief Pharmacy Officer · (414) 223-6874
NPI enumeratedMay 26, 2023
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address1311 N 6th St Ste 201, Milwaukee, WI 53212-4006

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