Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811591985 Individual Practitioner Male Practitioner

David Bourbonnais

Pharmacist • Peru, IL

Professional Overview & Biography Verified Profile Summary

David Bourbonnais is a registered healthcare professional specializing in Pharmacist in Peru, IL. Practice services are available at 1004 SHOOTING PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1004 Shooting Park Rd

Peru, IL 613541871

Telephone 8152241411
Associated Practice Facility / Clinic
🏢 Highland Park Cvs Llc Facility NPI 1275574147

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Peru, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Peru, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051289811

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1487257796

Doctor of Pharmacy (Pharm.D.)

Tracy Kotecki

Pharmacist

NPI 1861096166
NPI 1972199115

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2020

Registered at 1004 SHOOTING PARK RD, PERU, IL 613541871 (Tel: 8152241411)

📍
Updated Business Mailing Address November 29, 2020

Registered at 1004 SHOOTING PARK RD, PERU, IL 613541871 (Tel: 8152241411)

👤
Provider Name / Credentials Updated November 29, 2020

Recorded as DAVID BOURBONNAIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2020

Pharmacist (License #051289811 in IL)

🟢
Initial NPI Registration & Enumeration November 29, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811591985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2020
Last Update: November 29, 2020
Sole Proprietor: No

Mailing Address

1004 Shooting Park Rd

Peru, IL 613541871

Phone: 8152241411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.