DR. ANDREW JASON BERGMAN (NPI# 1619359981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619359981 |
Entity Type | Individual |
Full Name | DR. ANDREW JASON BERGMAN |
Credential | PHARMD |
Practice Address |
6309 Lima Rd Fort Wayne IN 46818-1425 |
Mailing Address |
11226 Morning Glory Pass Harlan IN 46743-7553 |
Practice Telephone | 2604971033 |
Practice Fax Number | 2604971065 |
Mailing Telephone | 2604379001 |
Enumeration Date | 2015-06-23 |
Last Update Date | 2015-06-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26026041A | IN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831629138 | Andrew Ryan Bergman | Physical Therapist | 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 | 2017-06-19 |
1528499555 | Andrew S Bergman | Specialist/Technologist | 401 Young Ave Ste 245, Moorestown, NJ 08057 | 2013-12-02 |
Street Address |
6309 LIMA RD |
City | FORT WAYNE |
State | IN |
Zip Code | 46818-1425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275558140 | Arcadia Healthcare Solutions, Inc. | Nursing Care | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2006-07-13 |
1952793861 | Richard Hoch | Pharmacist | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2015-03-02 |
1588076863 | Ryan Ades | Pharmacist | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2014-05-21 |
1619389095 | John Phillip Purvis | Pharmacist | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2014-05-20 |
1265843270 | Amy Jennings | Pharmacist | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2014-05-13 |
1013255884 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2013-01-29 |
1578834974 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2012-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
Find all providers in zip 46818 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033259197 | V E Butler and Associates PC | Pharmacist | 2700 S. Lafayette St, Communitycare Pharmacy, Fort Wayne, IN 46806-1100 | 2007-02-07 |
1669951877 | Kristen Elizabeth Christman | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-08-08 |
1255820163 | Timothy Lee Johnston | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-05-07 |
1134618150 | Elizabeth Meisberger | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-05-04 |
1649702176 | Chris Johnson | Pharmacist | 5909 Illinois Rd, Fort Wayne, IN 46804-1159 | 2017-04-03 |
1003228974 | Margaret Mcdonald | Pharmacist | 5909 Illinois Rd, Fort Wayne, IN 46804-1159 | 2014-05-27 |
1487066676 | Gerald Ellis | Pharmacist | 10301 E State Road 37, Fort Wayne, IN 46835-9591 | 2014-05-22 |
1588076863 | Ryan Ades | Pharmacist | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2014-05-21 |
1619389095 | John Phillip Purvis | Pharmacist | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2014-05-20 |
1033521497 | Steve Rigdon | Pharmacist | 10301 Maysville Rd, Fort Wayne, IN 46835-9591 | 2014-05-20 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46818 |
Please comment or provide details below to improve the information on DR. ANDREW JASON BERGMAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.