Kenneth Robert Bertini, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

Practice address

6144 Roosevelt Rd
Oak Park, IL 60304-2316

Phone

(708) 383-6767

Fax

(708) 383-6872

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bertini Pharmaceutical Services Inc

  dba Segreti Pharmacy

  • Community/Retail Pharmacy
  • Oak Park, IL
  • NPI 1790838100
  NPD Authorized official
• Healthchek LLC

  • Point of Service
  • Schererville, IN
  • NPI 1265446611
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477669695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042316",
            "telephone_number": "708-383-6757",
            "fax_number": "708-383-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042316",
            "telephone_number": "708-383-6767",
            "fax_number": "708-383-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTINI",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "05400914",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363489260001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Lynn Bernt, PSY.D.
• Jorge Antonio Berrios, PHARM.D.
• Heaven Tamira Berry
• Mitchell Harris Bershader, PT
• Bertini Pharmaceutical Services Inc (Segreti Pharmacy)
• Gabriela Betancourt
• Beth Dodge, Inc.
• Better Communities LLC
• Syrii Beyer, PA-C
• Tara Beyer

• Pharmacist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.