Barry Bonner, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051291176 Issued in IL

Practice address

18300 Governors Hwy
Homewood, IL 60430-2910

Phone

(708) 799-8301

NPI assigned

Dec 17, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1324080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324080000000",
    "number": "1174892335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18142 66TH CT APT 302",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774166",
            "telephone_number": "708-704-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 GOVERNORS HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302910",
            "telephone_number": "708-799-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-17",
        "last_updated": "2011-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blissful Routes Therapy PLLC
• Cynthia Lee Blocker, MA, CCC-SLP/L
• Blue Tranquility Counseling Services, PLLC
• Neil Mark Blumenthal, D.D.S., M.S.
• Megan Emily Bonke, LPC, ATR-P
• Jessica Bonner, PHD
• Agnieszka Boruc, N.P.
• Amani Bosley, PA
• Roshaun Bowens
• Georgia Boxer, LPC, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.