Active NPI
Laura Jane Chambers
- Pharmacist
- Princeton, IN
National Provider Identifier
1215537683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26022163A
- Practice address
- 4924 S Maple Tree Dr
Princeton, IN 47670-9278 - Phone
- (812) 385-0757
- NPI assigned
- Oct 27, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26022163A | IN | Primary |
Addresses
Primary practice location
4924 S Maple Tree Dr
Princeton, IN 47670-9278
Mailing address
4630 Surrey Way
Evansville, IN 47725-7468
Phone (812) 499-1411
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ljecker.s07266.us@wal-mart.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022163A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Princeton, IN
- NPI 1053747071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1215537683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 SURREY WAY",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477257468",
"telephone_number": "812-499-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4924 S MAPLE TREE DR",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476709278",
"telephone_number": "812-385-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "LAURA",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26022163A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ljecker.s07266.us@wal-mart.com",
"affiliation": "N",
"address_1": "4924 S Maple Tree Dr",
"city": "Princeton",
"state": "IN",
"country_code": "US",
"postal_code": "476709278",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Princeton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.