Individual provider Active NPI

Esma Bebo

  • Pharmacist
  • Homer Glen, IL
National Provider Identifier
1932715745
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051303135 Issued in IL
Practice address
13830 Skender CT
Homer Glen, IL 60491-7219
Phone
(630) 835-7329
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051303135 IL Primary

Addresses

Primary practice location

13830 Skender CT
Homer Glen, IL 60491-7219

Mailing address

13830 Skender CT
Homer Glen, IL 60491-7219
Phone (630) 835-7329

Other identifiers 1

IdentifierTypeStateIssuer
051303135MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esma.bebo@marianos.com

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
051303135ILMDPharmacist

Interoperability endpoints

  • Direct secure messaging: esma.bebo@marianos.com

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1932715745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 SKENDER CT",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917219",
            "telephone_number": "630-835-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 SKENDER CT",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917219",
            "telephone_number": "630-835-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBO",
        "first_name": "ESMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051303135",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esma.bebo@marianos.com",
            "affiliation": "N",
            "address_1": "13830 Skender Ct",
            "city": "Homer Glen",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604917219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.