Active NPI
Lynn Ann Bontrager
- Pharmacist
- Valparaiso, IN
National Provider Identifier
1750972592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26018630
- Practice address
- 52 Lincolnway
Valparaiso, IN 46383-5522 - Phone
- (219) 462-4146
- NPI assigned
- Feb 2, 2021
- Last updated
- Feb 2, 2021
- 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 | 26018630 | IN | Primary |
Addresses
Primary practice location
52 Lincolnway
Valparaiso, IN 46383-5522
Mailing address
52 Lincolnway
Valparaiso, IN 46383-5522
Phone (219) 462-4146
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26018630 | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gil Drug Co., Inc. | Past | Accepting new patients | |
| Gil Drug Co Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1750972592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 LINCOLNWAY",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463835522",
"telephone_number": "219-462-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 LINCOLNWAY",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463835522",
"telephone_number": "219-462-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONTRAGER",
"first_name": "LYNN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26018630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.