Lauren Nicole Bieker, PHARMD, RPH
Individual provider Active NPI Pharmacist · Fruita, CO
NPI 1164068169 · NPPES record last updated Nov 25, 2019
Key facts
- NPI
- 1164068169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0022031 (CO)
- Practice address
- 316 W Aspen Ave
Fruita, CO 81521-2504 - Phone
- (970) 858-0147
- Fax
- (970) 858-9028
- NPI assigned
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0022031 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0022031 | CO | Yes |
Addresses
Primary practice location
316 W Aspen Ave
Fruita, CO 81521-2504
Mailing address
2383 Sayre Dr
Grand Junction, CO 81507-1567
Phone (620) 249-9462
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22031 | Other | CO | BOARD OF PHARMACY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.11187@store.walgreens.com |
Other providers in Fruita, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.