Individual provider Active NPI

Linda Carmela Myers-Bock, R.P.

  • Pharmacist
  • Columbus, NE
National Provider Identifier
1548388275
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10519 Issued in NE
Practice address
3010 23Rd St
Columbus, NE 68601-3122
Phone
(402) 562-7668
Fax
(402) 563-0915
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10519 NE Primary

Addresses

Primary practice location

3010 23Rd St
Columbus, NE 68601-3122

Mailing address

3554 25TH Ave.
Columbus, NE 68601
Phone (402) 562-7668

Other identifiers 1

IdentifierTypeStateIssuer
10519OtherNEPHARMACY LISCENSE NUMBER

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
10519NEMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548388275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 25TH AVE.",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "68601",
            "telephone_number": "402-562-7668",
            "fax_number": "402-563-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 23RD ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013122",
            "telephone_number": "402-562-7668",
            "fax_number": "402-563-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS-BOCK",
        "first_name": "LINDA",
        "middle_name": "CARMELA",
        "credential": "R.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LISCENSE NUMBER",
            "identifier": "10519",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.