Active NPI
Cornelius Bondzi, PHARMD, PHD
- Pharmacist
- Carbondale, IL
National Provider Identifier
1790246874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051301747
- Practice address
- 8 Holly Dr Apt 35
Carbondale, IL 62902-8092 - Phone
- (757) 604-7809
- NPI assigned
- Mar 29, 2019
- Last updated
- Mar 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 051301747 | IL | Primary |
Addresses
Primary practice location
8 Holly Dr Apt 35
Carbondale, IL 62902-8092
Mailing address
8 Holly Dr Apt 35
Carbondale, IL 62902-8092
Phone (757) 604-7809
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 Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051301747 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1790246874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HOLLY DR APT 35",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629028092",
"telephone_number": "757-604-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HOLLY DR APT 35",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629028092",
"telephone_number": "757-604-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONDZI",
"first_name": "CORNELIUS",
"name_prefix": "Dr.",
"credential": "PHARMD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051301747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, IL
- Board of Trustees of Southern Illinois University (Carbondale Care A Van)
- Board of Trustees of Southern Illinois University
- Board of Trustees of Southern Illinois University (SIU Center for Family Medicine - Carbondale)
- Board of Trustees of Southern Illinois University (SIU Center for Family Medicine - Care-A-Van)
- John M Boget, LCSW
- McKenzie Bonifield
- Kathy Kelley Booziotis
- Ashley Borders, ADN, RN
- James Bordieri, PH.D
- Sarah Paige Born
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.