Individual provider Active NPI

Beth Colby

  • Pharmacist
  • Greenwood, IN
National Provider Identifier
1528668449
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26062804A Issued in IN
Practice address
1133 N Emerson Ave
Greenwood, IN 46143-6275
Phone
(317) 885-0139
NPI assigned
Oct 29, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26062804A IN Primary

Addresses

Primary practice location

1133 N Emerson Ave
Greenwood, IN 46143-6275

Mailing address

833 N Scott Dr
Greenwood, IN 46142-7711

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL blcolby.s03435.us@wal-mart.com Walmart Inc.

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
26062804AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1528668449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N SCOTT DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N EMERSON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436275",
            "telephone_number": "317-885-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26062804A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blcolby.s03435.us@wal-mart.com",
            "affiliation": "Y",
            "affiliationName": "Walmart Inc.",
            "address_1": "1133 N Emerson Ave",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461436275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.