Brent Corbin Edelcup, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051300771 Issued in IL

Practice address

687 Waukegan Rd
Deerfield, IL 60015-4331

Phone

(630) 299-3900

Fax

(630) 429-9704

NPI assigned

Mar 26, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• Telescript Pharmacy Inc.

  • Pharmacy
  • Deerfield, IL
  • NPI 1114438504
  NPD Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1255836938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 WAUKEGAN RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154331",
            "telephone_number": "630-299-3900",
            "fax_number": "630-429-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 WAUKEGAN RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154331",
            "telephone_number": "630-299-3900",
            "fax_number": "630-429-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELCUP",
        "first_name": "BRENT",
        "middle_name": "CORBIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Duvel, PHARMD
• Elizabeth Dyche
• Christopher J Dymon, PHARMD
• Nathan Dynia
• Jomon M Edakara
• Kelsey Egan, MSW, LCSW
• John Henning Egge, PT
• Deborah Terry Ehrlich, MD
• Steven Barry Eiden, O.D.
• Eric Jay Eisen, DDS MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.