Active NPI
Julie Collier, RPH
- Pharmacotherapy Pharmacist
- South Bend, IN
National Provider Identifier
1093126120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26016322A
- Practice address
- 3600 Northportage Road
South Bend, IN 46628 - Phone
- (574) 273-3410
- Fax
- (574) 273-3465
- NPI assigned
- May 12, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26016322A | IN | Primary |
Addresses
Primary practice location
3600 Northportage Road
South Bend, IN 46628
Mailing address
15755 Lake Forest CT
Granger, IN 46530-7058
Phone (574) 273-3410
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26016322A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1093126120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15755 LAKE FOREST CT",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307058",
"telephone_number": "574-273-3410",
"fax_number": "574-273-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NORTHPORTAGE ROAD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46628",
"telephone_number": "574-273-3410",
"fax_number": "574-273-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "JULIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26016322A",
"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 May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.