Individual provider Active NPI

Dean Michael Alberts, RPH

  • Pharmacist
  • Belleville, IL
National Provider Identifier
1689150294
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.033384 Issued in IL
Practice address
110 Carlyle Plaza Dr
Belleville, IL 62221-6678
Phone
(618) 234-8097
Fax
(618) 234-8199
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
051.033384ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Schnuck Markets Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.033384 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

110 Carlyle Plaza Dr
Belleville, IL 62221-6678

Mailing address

110 Carlyle Plaza Dr
Belleville, IL 62221-6678
Phone (618) 234-8097

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2018.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1689150294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CARLYLE PLAZA DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216678",
            "telephone_number": "618-234-8097",
            "fax_number": "618-234-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARLYLE PLAZA DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216678",
            "telephone_number": "618-234-8097",
            "fax_number": "618-234-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "DEAN",
        "middle_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.033384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.