Individual provider Active NPI

Ann Ziegert, RPH, CDCES

  • Pharmacist
  • South Bend, IN
National Provider Identifier
1679629919
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26018313A Issued in IN
Practice address
100 Wellness Center
South Bend, IN 46556-4655
Phone
(574) 271-5622
Fax
(574) 271-9304
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 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 26018313A IN Primary

Addresses

Primary practice location

100 Wellness Center
South Bend, IN 46556-4655

Mailing address

52290 Woodsedge Dr
Granger, IN 46530-8232
Phone (574) 277-4733

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

LicenseStateTypeSpecialty
26018313AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mar-Main Pharmacy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1679629919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52290 WOODSEDGE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308232",
            "telephone_number": "574-277-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELLNESS CENTER",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "465564655",
            "telephone_number": "574-271-5622",
            "fax_number": "574-271-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGERT",
        "first_name": "ANN",
        "credential": "RPH, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26018313A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

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