ENRICO BERTUCCI JR. R.PH.
NPI 1255936043
Pharmacist in Cahokia, IL

Active since December 01, 2020
1201 CAMP JACKSON RD, CAHOKIA, IL 62206(618) 332-2904(618) 332-2471 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Enrico Bertucci Jr. R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENRICO BERTUCCI JR. R.PH. (NPI 1255936043) is an individual pharmacist in Cahokia, Illinois, licensed in Illinois (051035190) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1255936043
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameENRICO BERTUCCI JR.Credential: R.PH.
Location Address1201 CAMP JACKSON RDCahokia, IL 62206-2231
Mailing Address1201 Camp Jackson RdCahokia, IL 62206-2231 · (618) 332-2904 · Fax (618) 332-2471
Fax(618) 332-2471
Sole ProprietorNo
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
NPI 1255936043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051035190
Definition
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.
1201 CAMP JACKSON RD, Cahokia, IL 62206

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1201 CAMP JACKSON RD
CAHOKIA, IL 62206
Pharmacist
1201 CAMP JACKSON RD
CAHOKIA, IL 62206
Pharmacist
1201 CAMP JACKSON RD
CAHOKIA, IL 62206
Pharmacy
1201 CAMP JACKSON RD
CAHOKIA, IL 62206
Pharmacist
1201 CAMP JACKSON RD
CAHOKIA, IL 62206
Pharmacist
1201 CAMP JACKSON RD
CAHOKIA, IL 62206
Pharmacist
1201 CAMP JACKSON RD
CAHOKIA, IL 62206
Pharmacist
1201 CAMP JACKSON RD
CAHOKIA, IL 62206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enrico Bertucci's NPI number?

The NPI number for Enrico Bertucci is 1255936043. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Enrico Bertucci located?

Enrico Bertucci practices at 1201 Camp Jackson Rd, Cahokia, IL 62206. The listed phone number is (618) 332-2904.

What is Enrico Bertucci's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Enrico Bertucci was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.