Active NPI
Richard L Dobbelhoff, R.PH., C.D.E., C.D.M
- Pharmacist
- Homewood, IL
National Provider Identifier
1801001326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 3153 183Rd St
Homewood, IL 60430-2806 - Phone
- (708) 799-8411
- Fax
- (708) 799-8997
- NPI assigned
- May 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26014272A | IN | |
| Pharmacist | 183500000X | IL | Primary |
Addresses
Primary practice location
3153 183Rd St
Homewood, IL 60430-2806
Mailing address
1208 Hillview Rd
Homewood, IL 60430-3415
Phone (708) 798-2075
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051033409 | IL | MD | Pharmacist |
| 26014272A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients | |
| American Drug Stores LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Diamond, IL
- NPI 1013786706
-
- Community/Retail Pharmacy
- Homewood, IL
- NPI 1093762544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801001326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 HILLVIEW RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604303415",
"telephone_number": "708-798-2075",
"fax_number": "708-799-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3153 183RD ST",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302806",
"telephone_number": "708-799-8411",
"fax_number": "708-799-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBELHOFF",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "R.PH., C.D.E., C.D.M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26014272A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.