Active NPI
Holly Ryann Eason, PHARMD
- Pharmacist
- Bedford, IN
National Provider Identifier
1952149536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021723A
- Practice address
- 619 Lincoln Ave
Bedford, IN 47421-2113 - Phone
- (812) 277-1702
- Fax
- (812) 277-1697
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 2024
- Sex
- Female
- 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 | 26021723A | IN | Primary |
Addresses
Primary practice location
619 Lincoln Ave
Bedford, IN 47421-2113
Mailing address
4681 S Livia Dr
Bloomington, IN 47401-8360
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021723A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engleking RX Lincoln Plaza LLC | Current | Accepting new patients |
Locations
619 Lincoln Ave
Bedford, IN 47421
Phone (812) 277-1702
Organizations & group practices 1
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.
-
dba Engleking Rx
- Community/Retail Pharmacy
- Bedford, IN
- NPI 1457442626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1952149536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4681 S LIVIA DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 LINCOLN AVE",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474212113",
"telephone_number": "812-277-1702",
"fax_number": "812-277-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "HOLLY",
"middle_name": "RYANN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021723A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.