Active NPI
William V. Bidwell, R PH.
- Pharmacist
- Twinsburg, OH
National Provider Identifier
1912251208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03214011
- Practice address
- 1750 Highland Rd
Suite 7B
Twinsburg, OH 44087-2275 - Phone
- (330) 405-7040
- NPI assigned
- Nov 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 03214011 | OH | Primary |
Addresses
Primary practice location
1750 Highland Rd
Suite 7B
Twinsburg, OH 44087-2275
Mailing address
1750 Highland Rd
Suite 7B
Twinsburg, OH 44087-2275
Phone (330) 405-7040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03214011 | Other | OHIO STATE BOARD OF PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03214011 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1912251208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 HIGHLAND RD",
"address_2": "SUITE 7B",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872275",
"telephone_number": "330-405-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 HIGHLAND RD",
"address_2": "SUITE 7B",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872275",
"telephone_number": "330-405-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDWELL",
"first_name": "WILLIAM",
"middle_name": "V.",
"name_prefix": "Mr.",
"credential": "R PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-08",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03214011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE BOARD OF PHARMACY",
"identifier": "03214011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twinsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.