Active NPI
Morris Pearson Jr.
- Pharmacist
- Peru, IN
National Provider Identifier
1477943280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26025449A
- Practice address
- 720 N Broadway
Peru, IN 46970-1027 - Phone
- (765) 473-5542
- NPI assigned
- Feb 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26025449A | IN | Primary |
| Pharmacist | 183500000X | 051298087 | IL |
Addresses
Primary practice location
720 N Broadway
Peru, IN 46970-1027
Mailing address
649 E 193Rd PL
Glenwood, IL 60425-2101
Phone (312) 519-6042
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 |
|---|---|---|---|
| 051298087 | IL | MD | Pharmacist |
| 26025449A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422748800000",
"number": "1477943280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 E 193RD PL",
"city": "GLENWOOD",
"state": "IL",
"postal_code": "604252101",
"telephone_number": "312-519-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N BROADWAY",
"city": "PERU",
"state": "IN",
"postal_code": "469701027",
"telephone_number": "765-473-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "MORRIS",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-01",
"last_updated": "2015-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26025449A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051298087",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peru, IN
- Bella Panmei
- Danielle Nicole Parker, RN
- Parkview Logansport Hospital, Inc. (Parkview Logansport Hospital Peru Medical Center)
- Peace of Mind, LLC
- Peaceful Pathways LLC (Peace of Mind)
- Peer Point Recovery Services, LLC (Peer Point Recovery Services)
- Austin Pence
- Carolyn Ruth Perry, MSN, PMHNP-BC
- Peru Community Schools
- Peru Operating Co., LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.