Individual provider Active NPI

Gerald R. Businaro, PHARMACIST

  • Pharmacist
  • Burr Ridge, IL
National Provider Identifier
1932308574
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Practice address
405 Heathrow CT
Burr Ridge, IL 60527-5960
Phone
(630) 986-2560
Fax
(630) 986-2571
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IL Primary

Addresses

Primary practice location

405 Heathrow CT
Burr Ridge, IL 60527-5960

Mailing address

405 Heathrow CT
Burr Ridge, IL 60527-5960
Phone (630) 986-2560

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

State licenses

LicenseStateTypeSpecialty
051029727ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1932308574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HEATHROW CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275960",
            "telephone_number": "630-986-2560",
            "fax_number": "630-986-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HEATHROW CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275960",
            "telephone_number": "630-986-2560",
            "fax_number": "630-986-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSINARO",
        "first_name": "GERALD",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.