Ettore Boggetto

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.026522 Issued in IL

Practice address

3153 W Fullerton Ave
Chicago, IL 60647-2809

Phone

(773) 278-6604

Fax

(773) 395-4633

NPI assigned

Feb 20, 2010

Last updated

Feb 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Fullerton Kedzie Professional Pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1083005078
  Authorized official Same address or phone

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1689996498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472809",
            "telephone_number": "773-278-6604",
            "fax_number": "773-395-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472809",
            "telephone_number": "773-278-6604",
            "fax_number": "773-395-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGETTO",
        "first_name": "ETTORE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.026522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany V Bogdajewicz, LPC
• Michael Bogdan, PHARMD
• Andrew Leon Bogdanowicz, D.D.S.
• Danielle Boggeman
• James Boggess
• Lisa Boggio, MD
• Denise Eileen Boggs, MS.CCC.SLP
• Kenneth Boggs, CO
• Madeline Boggs, LCSW
• Sherrii Adrianne Boggs, HEALTH COACH

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.