Healthcare Provider Details

I. General information

NPI: 1891761466
Provider Name (Legal Business Name): PRI-MED INFUSION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5517 N CUMBERLAND AVE SUITE 915
CHICAGO IL
60656-4738
US

IV. Provider business mailing address

17777 CENTER COURT DR N SUITE 550
CERRITOS CA
90703-9320
US

V. Phone/Fax

Practice location:
  • Phone: 773-467-6000
  • Fax: 773-775-2732
Mailing address:
  • Phone: 800-435-3020
  • Fax: 562-645-5396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. SOHAIL MASOOD
Title or Position: PRESIDENT
Credential: PHARM. D.
Phone: 800-435-3020