Individual provider Active NPI

Nancy Ann Blue, RPH

  • Pharmacist
  • Danville, IL
National Provider Identifier
1215538046
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26013736A Issued in IN
Practice address
4101 N Vermilion St
Danville, IL 61834-5997
Phone
(217) 443-9587
Fax
(217) 443-9553
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.034001 IL
Pharmacist 183500000X 26013736A IN Primary

Addresses

Primary practice location

4101 N Vermilion St
Danville, IL 61834-5997

Mailing address

229 Denvale Dr
Danville, IL 61832-1208
Phone (217) 799-0548

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NABLUE.S02491@walmart.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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051.034001ILMDPharmacist
26013736AINMDPharmacist

Interoperability endpoints

  • Direct secure messaging: nablue.s02491@walmart.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1215538046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 DENVALE DR",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321208",
            "telephone_number": "217-799-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618345997",
            "telephone_number": "217-443-9587",
            "fax_number": "217-443-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.034001",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26013736A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NABLUE.S02491@walmart.com",
            "affiliation": "N",
            "address_1": "4101 N Vermilion St",
            "city": "Danville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618345997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.