Individual provider Active NPI

Colleen Marie Bucks, RP

  • Pharmacist
  • Mitchell, NE
National Provider Identifier
1831650969
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10302 Issued in NE
Practice address
90444 County Road H
Mitchell, NE 69357-1920
Phone
(308) 672-4522
NPI assigned
Mar 29, 2019
Last updated
Mar 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 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 10302 NE Primary

Addresses

Primary practice location

90444 County Road H
Mitchell, NE 69357-1920

Mailing address

90444 County Road H
Mitchell, NE 69357-1920
Phone (308) 672-4522

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
10302NEMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1831650969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90444 COUNTY ROAD H",
            "city": "MITCHELL",
            "state": "NE",
            "postal_code": "693571920",
            "telephone_number": "308-672-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90444 COUNTY ROAD H",
            "city": "MITCHELL",
            "state": "NE",
            "postal_code": "693571920",
            "telephone_number": "308-672-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKS",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "RP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.