Individual provider Active NPI

Frank Debenedictis, R.PH.

  • Pharmacist
  • Bensenville, IL
National Provider Identifier
1689798225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51-31568 Issued in IL
Practice address
1127 S York Rd
Bensenville, IL 60106-3342
Phone
(630) 238-0181
Fax
(630) 238-0192
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51-31568 IL Primary

Addresses

Primary practice location

1127 S York Rd
Bensenville, IL 60106-3342

Mailing address

1 Renaissance PL Unit 720
Palatine, IL 60067-3639
Phone (630) 205-9363

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
51-31568ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689798225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RENAISSANCE PL UNIT 720",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673639",
            "telephone_number": "630-205-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 S YORK RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063342",
            "telephone_number": "630-238-0181",
            "fax_number": "630-238-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENEDICTIS",
        "first_name": "FRANK",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51-31568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensenville, IL

Sources for this page

  • 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.