Individual provider Active NPI

Dana Christine Sethness, PHARMD

  • Pharmacist
  • Deerfield, IL
National Provider Identifier
1285000992
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.298813 Issued in IL
Practice address
111 Deer Lake Rd Ste 130
Deerfield, IL 60015-4978
Phone
(855) 422-7744
Fax
(888) 810-2014
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.298813 IL Primary

Addresses

Primary practice location

111 Deer Lake Rd Ste 130
Deerfield, IL 60015-4978

Mailing address

111 Deer Lake Rd Ste 130
Deerfield, IL 60015-4978
Phone (855) 422-7744

Other practice location 1

130 S Gary Ave
Bloomingdale, IL 60108-2243
Phone (630) 351-7610

Other identifiers 1

IdentifierTypeStateIssuer
051.298813OtherILIDFPR

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051.298813ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MJ Investments & Development Co CurrentSince Dec 6, 2022 Accepting new patients

Locations

111 Deer Lake Rd
Ste 130
Deerfield, IL 60015
Phone (855) 422-7744

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1285000992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEER LAKE RD STE 130",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154978",
            "telephone_number": "855-422-7744",
            "fax_number": "888-810-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEER LAKE RD STE 130",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154978",
            "telephone_number": "855-422-7744",
            "fax_number": "888-810-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Gary Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601082243",
            "country_code": "US",
            "telephone_number": "630-351-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETHNESS",
        "first_name": "DANA",
        "middle_name": "CHRISTINE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.298813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "051.298813",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.