Active NPI
Timothy O'Rourke
- Pharmacist
- Bedford, IN
National Provider Identifier
1033137674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26012533A
- Practice address
- 629 Lincoln Ave
Bedford, IN 47421-2142 - Phone
- (812) 277-1702
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26012533A | IN | Primary |
Addresses
Primary practice location
629 Lincoln Ave
Bedford, IN 47421-2142
Mailing address
14 P St
Bedford, IN 47421-1718
Phone (812) 275-4945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26012533A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033137674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 P ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474211718",
"telephone_number": "812-275-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 LINCOLN AVE",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474212142",
"telephone_number": "812-277-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROURKE",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26012533A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.