Active NPI
Bridgette Cochran
- Pharmacist
- Coralville, IA
National Provider Identifier
1932482585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20165
- Practice address
- 2751 Heartland Dr
Coralville, IA 52241-2731 - Phone
- (319) 545-4600
- Fax
- (319) 545-4606
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 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 | 20165 | IA | Primary |
Addresses
Primary practice location
2751 Heartland Dr
Coralville, IA 52241-2731
Mailing address
2751 Heartland Dr
Coralville, IA 52241-2731
Phone (319) 545-4600
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 |
|---|---|---|---|
| 20165 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- bcochran5154@uihcdirect.org
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": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1932482585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 HEARTLAND DR",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412731",
"telephone_number": "319-545-4600",
"fax_number": "319-545-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 HEARTLAND DR",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412731",
"telephone_number": "319-545-4600",
"fax_number": "319-545-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "BRIDGETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.