Organization Active NPI

Pharma Bio Inc

  • Non-Pharmacy Dispensing Site
  • Mokena, IL
National Provider Identifier
1730303751
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
004-000558 Issued in IL
Legal business name
PHARMA BIO INC
Practice address
9700 197TH St
Suite 106-4
Mokena, IL 60448-8944
Phone
(708) 339-6200
NPI assigned
Apr 12, 2007
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PHARMA BIO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mr. William P Reiland, CPA
Title
President
Phone
(708) 339-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 004-000558 IL Primary

Addresses

Primary practice location

9700 197TH St
Suite 106-4
Mokena, IL 60448-8944

Mailing address

9700 West 197TH Street
Suite 106-4
Mokena, IL 60448-8944
Phone (708) 339-6200

Other identifiers 1

IdentifierTypeStateIssuer
361550MedicaidIL

Other names 1

  • PBI BILLING SERVICES Other name

National Provider Directory

National Provider Directory
Part of
Pharma Bio Inc

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1730303751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 WEST 197TH STREET",
            "address_2": "SUITE 106-4",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488944",
            "telephone_number": "708-339-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 197TH ST",
            "address_2": "SUITE 106-4",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488944",
            "telephone_number": "708-339-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA BIO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMA BIO INC",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "REILAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-339-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IL",
            "license": "004-000558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361550",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PBI BILLING SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.