Active NPI
Nicholas Bernauer
- Pharmacist
- Greenfield, IN
National Provider Identifier
1063017481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26028343A
- Practice address
- 1233 N State St
Greenfield, IN 46140-1056 - Phone
- (317) 462-7713
- NPI assigned
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 26028343A | IN | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26028343A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1233 N State St
Greenfield, IN 46140-1056
Mailing address
905 N Layman Ave
Indianapolis, IN 46219-4421
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Greenfield |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2020.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1063017481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 N LAYMAN AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 N STATE ST",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461401056",
"telephone_number": "317-462-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAUER",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IN",
"license": "26028343A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Greenfield",
"affiliation": "N",
"address_1": "1233 N State St",
"city": "Greenfield",
"state": "IN",
"country_code": "US",
"postal_code": "461401056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.