Bobrowski Industries Princeton LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054014751 Issued in IL

Legal business name

BOBROWSKI INDUSTRIES PRINCETON LLC

Doing business as

Fawcetts Pharmacy

Practice address

519 S Main St
Princeton, IL 61356-2006

Phone

(815) 872-3251

NPI assigned

Oct 28, 2015

Last updated

Oct 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Bobrowski

Title

President

Phone

(606) 599-5515

Specialties & licenses 1

Addresses

Other names 1

• Fawcetts Pharmacy Doing business as

Tax ID family

Bobrowski Industries Princeton LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• D Diko LLC

  dba Fawcett's Pharmacy

  • Community/Retail Pharmacy
  • Princeton, IL
  • NPI 1871581926
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David R Weber, R.PH.

  • Pharmacist
  • Grandview, WA
  • NPI 1780712166
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1851763924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413141000",
            "telephone_number": "606-599-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S MAIN ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562006",
            "telephone_number": "815-872-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBROWSKI INDUSTRIES PRINCETON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "BOBROWSKI",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-599-5515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054014751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fawcetts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael H Berkson, M.D.
• Alexandria Bertolino, D.C.
• Elizabeth Marie Birkey, CNM, FNP-C, PMHNP-BC
• Christopher Thomas Blanford, M.D.
• BMP Tri Co Spec Educ Coop
• Paul H Bonucci, MD
• Elyse J Boroski
• Shirley M Borys, LPC
• Bureau County Family Health
• Bureau County Family Health

• Community/Retail Pharmacy in Princeton, IL
• Providers in Princeton, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.