NPIMap

Individual provider Active NPI

Nicole Rodriguez

  • Pharmacist
  • Muncie, IN
National Provider Identifier
1740830686
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26024877A Issued in IN
Practice address
1501 E 29TH St
Muncie, IN 47302-5890
Phone
(765) 282-0578
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26024877A IN Primary

Addresses

Primary practice location

1501 E 29TH St
Muncie, IN 47302-5890

Mailing address

2501 East 29TH Street
Muncie, IN 47302

Electronic endpoints 5

TypeEndpointUseAffiliation
Other URL Walmart.com
Other URL Walmart.com
Other URL Walmart.com
Other URL Walmart.com
Other URL Walmart.com

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

State licenses

LicenseStateTypeSpecialty
26024877AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1740830686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 EAST 29TH STREET",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 29TH ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473025890",
            "telephone_number": "765-282-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26024877A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Walmart.com",
            "affiliation": "N",
            "address_1": "1501 E 29th St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473025890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Walmart.com",
            "affiliation": "N",
            "address_1": "1501 E 29th St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473025890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Walmart.com",
            "affiliation": "N",
            "address_1": "1501 E 29th St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473025890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Walmart.com",
            "affiliation": "N",
            "address_1": "1501 E 29th St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473025890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Walmart.com",
            "affiliation": "N",
            "address_1": "1501 E 29th St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473025890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.