Active NPI
Dennis Fruin, RPH
- Pharmacist
- Chicago, IL
National Provider Identifier
1598062234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051030963
- Practice address
- 2929 S Wabash Ave
#101
Chicago, IL 60616-3243 - Phone
- (312) 791-3334
- NPI assigned
- Feb 15, 2011
- Last updated
- Feb 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051030963 | IL | Primary |
| Pharmacist | 183500000X | 12445 | NE | |
| Pharmacist | 183500000X | 30787 | CA |
Addresses
Primary practice location
2929 S Wabash Ave
#101
Chicago, IL 60616-3243
Mailing address
2929 S Wabash Ave
#101
Chicago, IL 60616-3243
Phone (312) 791-3334
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 |
|---|---|---|---|
| 30787 | CA | MD | General Practice Dentistry |
| 051030963 | IL | MD | Pharmacist |
| 12445 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apothecare Inc | Current | Accepting new patients |
Locations
2929 S Wabash Ave
Ste 101
Chicago, IL 60616
Phone (312) 791-3334
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1598062234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 S WABASH AVE",
"address_2": "#101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163243",
"telephone_number": "312-791-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 S WABASH AVE",
"address_2": "#101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163243",
"telephone_number": "312-791-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUIN",
"first_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051030963",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12445",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "30787",
"primary": false
}
],
"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 Feb 15, 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.