DAVID BOURBONNAIS
NPI 1811591985
Pharmacist in Peru, IL

Active since November 29, 2020
1004 SHOOTING PARK RD, PERU, IL 61354(815) 224-1411 Get Directions Write a Review

NPPES record last updated: November 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Bourbonnais NPPES

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

DAVID BOURBONNAIS (NPI 1811591985) is an individual pharmacist in Peru, Illinois, licensed in Illinois (051289811) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1811591985
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDAVID BOURBONNAIS
Location Address1004 SHOOTING PARK RDPeru, IL 61354-1871
Mailing Address1004 Shooting Park RdPeru, IL 61354-1871 · (815) 224-1411 · Fax (815) 224-1790
Sole ProprietorNo
Enumeration DateNovember 29, 2020
NPPES CertifiedNovember 29, 2020
NPI 1811591985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051289811
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.
1004 SHOOTING PARK RD, Peru, IL 61354

Other Providers at the Same Location NPPES 4

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

Pharmacy
1004 SHOOTING PARK RD
PERU, IL 61354
Pharmacist
1004 SHOOTING PARK RD
PERU, IL 61354
Pharmacist
1004 SHOOTING PARK RD
PERU, IL 61354
Pharmacist
1004 SHOOTING PARK RD
PERU, IL 61354

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 David Bourbonnais's NPI number?

The NPI number for David Bourbonnais is 1811591985. It was assigned to this individual provider in the NPPES registry on November 29, 2020.

Where is David Bourbonnais located?

David Bourbonnais practices at 1004 Shooting Park Rd, Peru, IL 61354. The listed phone number is (815) 224-1411.

What is David Bourbonnais'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 David Bourbonnais was last updated on November 29, 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.