Michael Reuss Blessman, R.PH.
Individual provider Active NPI Pharmacist · Canton, IL
NPI 1235458639 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1235458639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051040612 (IL)
- Practice address
- 825 N Main St
Canton, IL 61520-1264 - Phone
- (309) 647-2610
- NPI assigned
- May 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051040612 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051040612 | IL | Yes |
Addresses
Primary practice location
825 N Main St
Canton, IL 61520-1264
Mailing address
825 N Main St
Canton, IL 61520-1264
Phone (309) 647-2610
Other providers in Canton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.