Individual provider Active NPI

Megan Wendelschafer

  • Pharmacist
  • Bloomington, IL
National Provider Identifier
1457989824
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-296246 Issued in IL
Practice address
1130 S Veterans Pkwy
Bloomington, IL 61704-7117
Phone
(309) 661-1839
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 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 051-296246 IL Primary

Addresses

Primary practice location

1130 S Veterans Pkwy
Bloomington, IL 61704-7117

Mailing address

4007 Rockledge Rd
Bloomington, IL 61705-8736
Phone (608) 558-1194

Other names 1

  • Megan Marie Heepke Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Megan.Dahm@CVSHealth.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

LicenseStateTypeSpecialty
051-296246ILMDPharmacist

Interoperability endpoints

  • Direct secure messaging: megan.dahm@cvshealth.com

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1457989824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 ROCKLEDGE RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617058736",
            "telephone_number": "608-558-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S VETERANS PKWY",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047117",
            "telephone_number": "309-661-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELSCHAFER",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-296246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Megan.Dahm@CVSHealth.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "address_1": "1130 S Veterans Pkwy",
            "city": "Bloomington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617047117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "HEEPKE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.