Deepak T Dattani, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051033397 Issued in IL

Practice address

420 Country Club Dr
Bensenville, IL 60106-1507

Phone

(630) 354-6300

Fax

(630) 354-6309

NPI assigned

Jan 24, 2019

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• David Dattani Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KND Health Care Services SC

  dba Prime Care Pharmacy

  • Long Term Care Pharmacy
  • Bensenville, IL
  • NPI 1528212479
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1114481058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COUNTRY CLUB DR",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601061507",
            "telephone_number": "630-354-6300",
            "fax_number": "630-354-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COUNTRY CLUB DR",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601061507",
            "telephone_number": "630-354-6300",
            "fax_number": "630-354-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTANI",
        "first_name": "DEEPAK",
        "middle_name": "T",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051033397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "DATTANI",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.