Luke Vander Bleek, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

BF5563350 Issued in IL

Practice address

124 E Main St
Morrison, IL 61270-2638

Phone

(815) 772-3415

Fax

(815) 772-7240

NPI assigned

Nov 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Morr Fitz Inc

  • Long Term Care Pharmacy
  • Morrison, IL
  • NPI 1578062113
  NPD Authorized official
• Morr Fitz Inc

  • Community/Retail Pharmacy
  • Morrison, IL
  • NPI 1801076344
  NPD Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1386715522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702638",
            "telephone_number": "815-772-3415",
            "fax_number": "815-772-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702638",
            "telephone_number": "815-772-3415",
            "fax_number": "815-772-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER BLEEK",
        "first_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "BF5563350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363833823001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Stout, RN, BSN, CDE
• Lyndsey Marie Tegeler, DC
• John Arthur Tomasino Jr., D.D.S.
• Ava Diane Valdez, PAC
• Gary D Vande Kamp, PT
• Cynthia Wadsworth, NP
• Kristi A Wambeke, PT
• Linda S. Welch, CRNA DNP
• Hannah Rae Welding, PTA
• Rebecca R West, ARNP

• All providers in Morrison, IL
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.