Individual provider Active NPI

Laurie Anne Bonnington, RPH

  • Pharmacist
  • Petoskey, MI
National Provider Identifier
1689326100
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302411258 Issued in MI
Practice address
710 Spring St
Petoskey, MI 49770-2851
Phone
(231) 348-5556
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 5302411258 MI Primary

Addresses

Primary practice location

710 Spring St
Petoskey, MI 49770-2851

Mailing address

1107 Fairways Blvd
Troy, MI 48085-6109
Phone (248) 709-4183

Other names 1

  • Laurie Watson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Troy

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
5302411258MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1689326100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 FAIRWAYS BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856109",
            "telephone_number": "248-709-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SPRING ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702851",
            "telephone_number": "231-348-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNINGTON",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302411258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Troy",
            "affiliation": "N",
            "address_1": "710 Spring St",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497702851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "WATSON",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.