Active NPI
Eric Daniel Urbanowski, PHARM D
- Pharmacist
- Manteno, IL
National Provider Identifier
1740440510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051290462
- Practice address
- 24 W First St
Manteno, IL 60950-1239 - Phone
- (630) 969-0036
- Fax
- (630) 852-6545
- NPI assigned
- Jun 14, 2008
- Last updated
- Sep 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051290462 | IL | Primary |
Addresses
Primary practice location
24 W First St
Manteno, IL 60950-1239
Mailing address
47 S Locust St
Manteno, IL 60950-1515
Phone (815) 468-0190
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051290462 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Pharmacy LLC | Current | Accepting new patients | |
| Douglas & Ogden Medical Center Pharmacy Inc | Current | Accepting new patients | |
| Gilman Pharmacy LLC | Current | Accepting new patients |
Locations
24 W First St
Manteno, IL 60950
Phone (630) 969-0036
Organizations & group practices 3
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.
-
dba Douglas Main Pharmacy
- Community/Retail Pharmacy
- Manteno, IL
- NPI 1760543581
-
dba Wilmington Pharmacy
- Community/Retail Pharmacy
- Wilmington, IL
- NPI 1215538582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601078400000",
"number": "1740440510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 S LOCUST ST",
"city": "MANTENO",
"state": "IL",
"postal_code": "609501515",
"telephone_number": "815-468-0190",
"fax_number": "815-468-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 W FIRST ST",
"city": "MANTENO",
"state": "IL",
"postal_code": "609501239",
"telephone_number": "630-969-0036",
"fax_number": "630-852-6545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANOWSKI",
"first_name": "ERIC",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-14",
"last_updated": "2020-09-26",
"certification_date": "2020-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051290462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteno, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.