Active NPI
Cheryl Bader, D.PH.
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1497023469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11884
- Practice address
- 2690 White Rock LN
Colorado Springs, CO 80904-4602 - Phone
- (719) 499-8847
- NPI assigned
- Dec 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6159 | TN | |
| Pharmacist | 183500000X | 11884 | CO | Primary |
Addresses
Primary practice location
2690 White Rock LN
Colorado Springs, CO 80904-4602
Mailing address
2690 White Rock LN
Colorado Springs, CO 80904-4602
Phone (719) 499-8847
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 |
|---|---|---|---|
| 11884 | CO | MD | Pharmacist |
| 6159 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1497023469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 WHITE ROCK LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809044602",
"telephone_number": "719-499-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 WHITE ROCK LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809044602",
"telephone_number": "719-499-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADER",
"first_name": "CHERYL",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "6159",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "11884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.