Active NPI
Oneil Joseph Betrrand, R.PH
- Pharmacotherapy Pharmacist
- Chicago, IL
National Provider Identifier
1578848321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051-036158
- Practice address
- 10107 S Calumet Ave
Chicago, IL 60628-2101 - Phone
- (773) 931-9595
- NPI assigned
- Oct 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 051-036158 | IL | Primary |
Addresses
Primary practice location
10107 S Calumet Ave
Chicago, IL 60628-2101
Mailing address
10107 S Calumet Ave
Chicago, IL 60628-2101
Phone (773) 931-9595
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-036158 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1578848321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10107 S CALUMET AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606282101",
"telephone_number": "773-931-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10107 S CALUMET AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606282101",
"telephone_number": "773-931-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETRRAND",
"first_name": "ONEIL",
"middle_name": "JOSEPH",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-12",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051-036158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.