Active NPI
Julie D. Bickers, R.PH.
- Pharmacist
- Champaign, IL
National Provider Identifier
1649592015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-290449
- Practice address
- 3114 Village Office PL
Champaign, IL 61822-7680 - Phone
- (217) 378-4807
- Fax
- (217) 378-4932
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-290449 | IL | Primary |
| Pharmacist | 183500000X | 26019201A | IN | |
| Pharmacist | 183500000X | RPH.03223536-2 | OH | |
| Pharmacist | 183500000X | 200303034 | MO | |
| Pharmacist | 183500000X | 1-13713 | KS |
Addresses
Primary practice location
3114 Village Office PL
Champaign, IL 61822-7680
Mailing address
1517 Beaver Lake CT.
Mahomet, IL 61853
Phone (217) 590-4664
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-290449 | IL | MD | Pharmacist |
| 26019201A | IN | MD | Pharmacist |
| 1-13713 | KS | MD | Pharmacist |
| 200303034 | MO | MD | Pharmacist |
| RPH.03223536-2 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1649592015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 BEAVER LAKE CT.",
"city": "MAHOMET",
"state": "IL",
"postal_code": "61853",
"telephone_number": "217-590-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3114 VILLAGE OFFICE PL",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618227680",
"telephone_number": "217-378-4807",
"fax_number": "217-378-4932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKERS",
"first_name": "JULIE",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-290449",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019201A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RPH.03223536-2",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "200303034",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-13713",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.