Organization Active NPI

Bertini Pharmaceutical Services Inc

  • Community/Retail Pharmacy
  • Oak Park, IL
National Provider Identifier
1790838100
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
051028708 Issued in IL
Legal business name
BERTINI PHARMACEUTICAL SERVICES INC
Doing business as
Segreti Pharmacy
Practice address
6144 Roosevelt Rd
Oak Park, IL 60304-2316
Phone
(708) 383-6757
Fax
(708) 383-6872
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Kenneth BertiniNPI 1477669695
Title
Pharmacy Manager Owner
Phone
(708) 383-6757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 051028708 IL Primary

Addresses

Primary practice location

6144 Roosevelt Rd
Oak Park, IL 60304-2316

Mailing address

6144 Roosevelt Rd
Oak Park, IL 60304-2316
Phone (708) 383-6757

Other names 1

  • Segreti Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1790838100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042316",
            "telephone_number": "708-383-6757",
            "fax_number": "708-383-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042316",
            "telephone_number": "708-383-6757",
            "fax_number": "708-383-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTINI PHARMACEUTICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BERTINI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHARMACY MANAGER OWNER",
        "authorized_official_telephone_number": "708-383-6757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051028708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Segreti Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.