Active NPI
Peter Bonaminio I, BS RPH
- Pharmacist
- Orland Park, IL
National Provider Identifier
1053692285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051038114
- Practice address
- 14680 S la Grange Rd
Orland Park, IL 60462-2510 - Phone
- (708) 460-2021
- Fax
- (708) 460-2974
- NPI assigned
- Sep 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051038114 | IL | Primary |
Addresses
Primary practice location
14680 S la Grange Rd
Orland Park, IL 60462-2510
Mailing address
14680 S la Grange Rd
Orland Park, IL 60462-2510
Phone (708) 460-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051038114 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1053692285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14680 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622510",
"telephone_number": "708-460-2021",
"fax_number": "708-460-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14680 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622510",
"telephone_number": "708-460-2021",
"fax_number": "708-460-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONAMINIO",
"first_name": "PETER",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "BS RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051038114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.