Active NPI
Rebecca M Kuzma, PHARM.D.
- Pharmacist
- La Porte, IN
National Provider Identifier
1710269493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26023833A
- Practice address
- 1302 W State Road 2
La Porte, IN 46350-4666 - Phone
- (219) 362-7009
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26023833A | IN | Primary |
Addresses
Primary practice location
1302 W State Road 2
La Porte, IN 46350-4666
Mailing address
1204 Azalea St SE
Demotte, IN 46310-9700
Phone (219) 306-0646
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26023833A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1710269493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 AZALEA ST SE",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463109700",
"telephone_number": "219-306-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 W STATE ROAD 2",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463504666",
"telephone_number": "219-362-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUZMA",
"first_name": "REBECCA",
"middle_name": "M",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26023833A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Porte, IN
- Emma Krivak
- Michelle M Kroening, RPH
- Kroger Limited Partnership I (Kroger Pharmacy)
- Melissa Kuczmanski, LMHC
- Jody Kupferberg, ARNP
- Judy Ann Kwiatkowski, RD
- Eugene Theodore Kwiecien, DDS
- La Porte Al, LLC (Trustwell Living at Settlers Place)
- La Porte Clinic Company LLC (La Porte Physician Network Ophthalmology Care)
- La Porte County Auditor (La Porte County Emergency Medical Service)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.