Active NPI
Chad Michael Bird, RPH
- Pharmacist
- Cedar Rapids, IA
National Provider Identifier
1164659405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18921
- Practice address
- 2821 1St Ave SE
Cedar Rapids, IA 52402-4806 - Phone
- (319) 365-6306
- Fax
- (319) 365-0240
- NPI assigned
- Jun 14, 2009
- Last updated
- Jun 14, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18921 | IA | Primary |
| Pharmacist | 183500000X | 051-291701 | IL |
Addresses
Primary practice location
2821 1St Ave SE
Cedar Rapids, IA 52402-4806
Mailing address
PO Box 10191
Cedar Rapids, IA 52410-0191
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 |
|---|---|---|---|
| 18921 | IA | MD | Pharmacist |
| 051-291701 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244937600000",
"number": "1164659405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10191",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524100191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 1ST AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524024806",
"telephone_number": "319-365-6306",
"fax_number": "319-365-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-14",
"last_updated": "2009-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18921",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-291701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.