Individual provider Active NPI

David M Norris, PHARMD

  • Pharmacist
  • West Lafayette, IN
National Provider Identifier
1104234830
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26025604A Issued in IN
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

Updated by the provider on Feb 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
26025604AOtherINSTATE 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

LicenseStateTypeSpecialty
26025604AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.