Individual provider Active NPI

Laura Beth Bergsieker, PHARM. D.

  • Pharmacist
  • Murfreesboro, TN
National Provider Identifier
1508168261
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
34329 Issued in TN
Practice address
1131 Dr Martin Luther King Blvd
Murfreesboro, TN 37130-7845
Phone
(615) 890-5911
NPI assigned
Nov 30, 2010
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 34329 TN Primary

Addresses

Primary practice location

1131 Dr Martin Luther King Blvd
Murfreesboro, TN 37130-7845

Mailing address

1131 Dr Martin Luther King Blvd
Murfreesboro, TN 37130-7845
Phone (615) 890-5911

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
34329TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients

Locations

1131 Doctor Martin Luther King Jr Blvd
Murfreesboro, TN 37130
Phone (615) 890-5911

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, 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": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1508168261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 DR MARTIN LUTHER KING BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371307845",
            "telephone_number": "615-890-5911",
            "fax_number": "615-890-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 DR MARTIN LUTHER KING BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371307845",
            "telephone_number": "615-890-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSIEKER",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "34329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.