Individual provider Active NPI

Cheri N Bethuram, PHARMD

  • Pharmacist
  • Brownsburg, IN
National Provider Identifier
1306447016
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26025673A Issued in IN
Practice address
400 W Northfield Dr
Brownsburg, IN 46112-8122
Phone
(317) 858-1415
Fax
(317) 858-1796
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26025673A IN Primary

Addresses

Primary practice location

400 W Northfield Dr
Brownsburg, IN 46112-8122

Mailing address

400 W Northfield Dr
Brownsburg, IN 46112-8122
Phone (317) 858-1415

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnbethu.s02788.us@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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26025673AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1306447016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461128122",
            "telephone_number": "317-858-1415",
            "fax_number": "317-858-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461128122",
            "telephone_number": "317-858-1415",
            "fax_number": "317-858-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHURAM",
        "first_name": "CHERI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26025673A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnbethu.s02788.us@walmart.com",
            "affiliation": "N",
            "address_1": "400 W Northfield Dr",
            "city": "Brownsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461128122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.