Ralph Dorr, R.PH.
Individual provider Active NPI Pharmacist · New Berlin, IL
NPI 1942580485 · NPPES record last updated Aug 27, 2011
Key facts
- NPI
- 1942580485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051026530 (IL)
- Practice address
- 7130 Fulton Rd
New Berlin, IL 62670-6787 - Phone
- (217) 816-6886
- NPI assigned
- Aug 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051026530 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051026530 | IL | Yes |
Addresses
Primary practice location
7130 Fulton Rd
New Berlin, IL 62670-6787
Mailing address
7130 Fulton Rd
New Berlin, IL 62670-6787
Phone (217) 816-6886
Other providers in New Berlin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.