Benner Family Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Ottawa, IL
NPI 1467515080 · NPPES record last updated Nov 20, 2009
Key facts
- NPI
- 1467515080
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054016665 (IL)
- Legal business name
- BENNER FAMILY PHARMACY INC
- Practice address
- 1614 E Norris Dr
Ottawa, IL 61350-3681 - Phone
- (815) 433-4666
- Fax
- (815) 433-4719
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- John Groesbeck
- Title
- President
- Phone
- (815) 434-5355
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054016665 | IL | Yes |
Addresses
Primary practice location
1614 E Norris Dr
Ottawa, IL 61350-3681
Mailing address
1614 E Norris Dr
Ottawa, IL 61350-3681
Phone (815) 433-4666
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1460233 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- THE PHARMACY STOP MEDICAL CENTER
Other providers in Ottawa, IL
- Cathy A Battistelli
- Jennifer A Bauer
- Bradley John Beemer
- Mark Benavides
- Benner Family Pharmacy
- Ronald L Benner
- Christine K Benson-Larson
- Myles Jacob Berg
- Jasmine Naila Bhurgri
- Bodycare Chiropractic of Ottawa S.C.
All providers in Ottawa, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2009. 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.