MR. BENJAMIN DAVID BLITZBLAU PHARMD
NPI 1699097865
Pharmacist - Pharmacotherapy in Loves Park, IL

Q: What is Benjamin Blitzblau's NPI number?

The NPI number for Benjamin Blitzblau is 1699097865. It was assigned to this individual provider in the NPPES registry on February 15, 2010.

Q: What is Benjamin Blitzblau's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

Active since February 15, 2010

1515 E RIVERSIDE BLVD, KMART PHARMACY, LOVES PARK, IL 61111(815) 877-8059(815) 282-4992 Get Directions Write a Review

NPPES record last updated: February 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Benjamin David Blitzblau Pharmd NPPES

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

MR. BENJAMIN DAVID BLITZBLAU PHARMD (NPI 1699097865) is an individual pharmacotherapy provider in Loves Park, Illinois, licensed in Illinois (051290077) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1699097865

Entity TypeIndividualMale

Primary Taxonomy1835P1200X

Provider Legal NameMR. BENJAMIN DAVID BLITZBLAUCredential: PHARMD

Location Address1515 E RIVERSIDE BLVD, KMART PHARMACYLoves Park, IL 61111-4742

Mailing Address1515 E Riverside Blvd, Kmart PharmacyLoves Park, IL 61111-4742 · (815) 877-8059 · Fax (815) 282-4992

Phone(815) 877-8059

Fax(815) 282-4992

Sole ProprietorNo

Enumeration DateFebruary 15, 2010

✔ NPI 1699097865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers

Taxonomy Code1835P1200X

License✔ Licensed in IL · 051290077

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

1515 E RIVERSIDE BLVD, Loves Park, IL 61111

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Other Providers at the Same Location NPPES 2

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

MS. HELGA DRINKA RPH.

Pharmacist

1515 E RIVERSIDE BLVD, KMART PHARMACY
LOVES PARK, IL 61111

Winnebago County (815) 877-8059

COLE VISION CORPORATION

Eyewear Supplier

1515 E RIVERSIDE BLVD
LOVES PARK, IL 61111

Winnebago County (815) 633-1355

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 Benjamin Blitzblau's NPI number?

The NPI number for Benjamin Blitzblau is 1699097865. It was assigned to this individual provider in the NPPES registry on February 15, 2010.

Where is Benjamin Blitzblau located?

Benjamin Blitzblau practices at 1515 E Riverside Blvd Kmart Pharmacy, Loves Park, IL 61111. The listed phone number is (815) 877-8059.

What is Benjamin Blitzblau's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Benjamin Blitzblau was last updated on February 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.