Active NPI
Bonnie Vargas
- Pharmacist
- Bloomington, IN
National Provider Identifier
1295324994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26015416A
- Practice address
- 121 E Kirkwood Ave
Bloomington, IN 47408-3331 - Phone
- (812) 349-0384
- NPI assigned
- Jan 16, 2021
- 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 | 26015416A | IN | Primary |
Addresses
Primary practice location
121 E Kirkwood Ave
Bloomington, IN 47408-3331
Mailing address
121 E Kirkwood Ave
Bloomington, IN 47408-3331
Phone (812) 349-0384
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 |
|---|---|---|---|
| 26015416A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | 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, 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": "1610755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610755200000",
"number": "1295324994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E KIRKWOOD AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474083331",
"telephone_number": "812-349-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E KIRKWOOD AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474083331",
"telephone_number": "812-349-0384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "BONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-16",
"last_updated": "2021-01-16",
"certification_date": "2021-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26015416A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.