Active NPI
Christopher D Machetta, RPH
- Pharmacist
- Morris, IL
National Provider Identifier
1174806251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051038004
- Practice address
- 100 Bedford Rd
Morris, IL 60450-1441 - Phone
- (815) 941-1284
- Fax
- (815) 941-1462
- NPI assigned
- Sep 24, 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 | 051038004 | IL | Primary |
Addresses
Primary practice location
100 Bedford Rd
Morris, IL 60450-1441
Mailing address
2936 Cottonwood LN
Marseilles, IL 61341-9314
Phone (815) 795-9698
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051038004 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1174806251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 COTTONWOOD LN",
"city": "MARSEILLES",
"state": "IL",
"postal_code": "613419314",
"telephone_number": "815-795-9698",
"fax_number": "815-795-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BEDFORD RD",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501441",
"telephone_number": "815-941-1284",
"fax_number": "815-941-1462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHETTA",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051038004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.