William Edward Bopp, R.PH. – Pharmacist

Key facts

NPI: 1699784686
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 5302021274 (MI)
Practice address: 6998 E 400 N
Fremont, IN 46737-8028
Phone: (260) 580-2611
NPI assigned: Aug 7, 2006
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Pharmacist

State licenses

License	State	Type	Specialty
5302021274	MI	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	5302021274	MI	Yes

Addresses

Primary practice location

6998 E 400 N
Fremont, IN 46737-8028

Mailing address

6998 E 400 N
Fremont, IN 46737-8028
Phone (260) 580-2611

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699784686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6998 E 400 N",
            "city": "FREMONT",
            "state": "IN",
            "postal_code": "467378028",
            "telephone_number": "260-580-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6998 E 400 N",
            "city": "FREMONT",
            "state": "IN",
            "postal_code": "467378028",
            "telephone_number": "260-580-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPP",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302021274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, IN

All providers in Fremont, IN · Pharmacist in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.