Organization Active NPI

Denrich Corp

  • Community/Retail Pharmacy
  • Westmont, IL
National Provider Identifier
1215973128
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054004627 Issued in IL
Legal business name
DENRICH CORP
Practice address
2 N Cass Ave
Westmont, IL 60559-1602
Phone
(630) 969-2043
Fax
(630) 969-2271
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
Dennis Jordan
Title
President, Resident Pharmacist
Phone
(630) 969-2043

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 054004627 IL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2 N Cass Ave
Westmont, IL 60559-1602

Mailing address

2 N Cass Ave
Westmont, IL 60559-1602
Phone (630) 969-2043

Other identifiers 1

IdentifierTypeStateIssuer
1428374OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WESTMONT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2 N Cass Ave
Westmont, IL 60559
Phone (630) 969-2043

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1215973128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591602",
            "telephone_number": "630-969-2043",
            "fax_number": "630-969-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591602",
            "telephone_number": "630-969-2043",
            "fax_number": "630-969-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENRICH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT, RESIDENT PHARMACIST",
        "authorized_official_telephone_number": "630-969-2043"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054004627",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1428374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTMONT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.