John Joseph Bodensteiner, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.029707 Issued in IL

Practice address

311 W Fairchild St
Suite B
Danville, IL 61832-3876

Phone

(217) 431-7759

NPI assigned

May 2, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1241222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241222400000",
    "number": "1508090747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16979 E 2705 NORTH RD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618346059",
            "telephone_number": "217-759-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W FAIRCHILD ST",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323876",
            "telephone_number": "217-431-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSTEINER",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-02",
        "last_updated": "2009-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.029707",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26012728A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin E Blew, NP
• Mark L Blodgett, PSY.D
• Emily Blue, LCSW
• Nancy Ann Blue, RPH
• Kumar Bobba, M.D.
• Kelly L Boeger
• Mary Cay Bolser, ARNP
• Elizabeth Bosch, DNP
• Jeremy Lee Bosch, M.S.W., L.S.W.
• Makayla Bosch

• Pharmacist in Danville, IL
• Providers in Danville, 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, 2009; 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.