Active NPI
Janice Marie Bopp, PHARMD
- Pharmacist
- South Bend, IN
National Provider Identifier
1033255385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26015085
- Practice address
- 426 N Michigan St
South Bend, IN 46601-1228 - Phone
- (574) 234-3184
- Fax
- (574) 289-1940
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- 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 | 26015085 | IN | Primary |
Addresses
Primary practice location
426 N Michigan St
South Bend, IN 46601-1228
Mailing address
22555 Stanton Rd
Lakeville, IN 46536-9746
Phone (574) 784-3650
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26015085 | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mar-Main Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- South Bend, IN
- NPI 1649277369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033255385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22555 STANTON RD",
"city": "LAKEVILLE",
"state": "IN",
"postal_code": "465369746",
"telephone_number": "574-784-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 N MICHIGAN ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011228",
"telephone_number": "574-234-3184",
"fax_number": "574-289-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOPP",
"first_name": "JANICE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26015085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, 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.