Active NPI
David M Norris, PHARMD
- Pharmacist
- West Lafayette, IN
National Provider Identifier
1104234830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26025604A
- Practice address
- 482 W Navajo St Ste a
West Lafayette, IN 47906-1940 - Phone
- (765) 463-2600
- Fax
- (765) 463-2601
- NPI assigned
- Jul 25, 2014
- 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 | 26025604A | IN | Primary |
Addresses
Primary practice location
482 W Navajo St Ste a
West Lafayette, IN 47906-1940
Mailing address
482 W Navajo St
Suite a
West Lafayette, IN 47906-1940
Phone (765) 463-2600
Other practice location 1
482 W Navajo St Ste B
West Lafayette, IN 47906-1940
Phone (765) 607-4103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26025604A | Other | IN | STATE LICENSE |
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 |
|---|---|---|---|
| 26025604A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Custompp LLC | Current | Accepting new patients | |
| Cppltc LLC | Current | Accepting new patients |
Locations
482 W Navajo St
#B
West Lafayette, IN 47906
Phone (765) 607-4103
482 W Navajo St
#A
West Lafayette, IN 47906
Phone (765) 204-1122
Organizations & group practices 2
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.
-
- Long Term Care Pharmacy
- West Lafayette, IN
- NPI 1407235013
-
- Community/Retail Pharmacy
- West Lafayette, IN
- NPI 1396011888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1104234830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 W NAVAJO ST",
"address_2": "SUITE A",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061940",
"telephone_number": "765-463-2600",
"fax_number": "765-463-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "482 W NAVAJO ST STE A",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061940",
"telephone_number": "765-463-2600",
"fax_number": "765-463-2601"
}
],
"practiceLocations": [
{
"address_1": "482 W Navajo St Ste B",
"address_purpose": "LOCATION",
"city": "West Lafayette",
"state": "IN",
"postal_code": "479061940",
"country_code": "US",
"telephone_number": "765-607-4103",
"fax_number": "765-607-4109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORRIS",
"first_name": "DAVID",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-25",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26025604A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "26025604A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.