Active NPI
Teresa M Andrade, RPH
- Pharmacist
- Crown Point, IN
National Provider Identifier
1972885887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26014942
- Practice address
- 5096 E 105TH LN
Crown Point, IN 46307-7610 - Phone
- (219) 662-7947
- NPI assigned
- Sep 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 26014942 | IN | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26014942 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5096 E 105TH LN
Crown Point, IN 46307-7610
Mailing address
5096 E 105TH LN
Crown Point, IN 46307-7610
Phone (219) 662-7947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2011.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1972885887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5096 E 105TH LN",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077610",
"telephone_number": "219-662-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5096 E 105TH LN",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077610",
"telephone_number": "219-662-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "TERESA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26014942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.