MATTHEW BOURQUEIN PHARMD NPI 1518620525

NPI Information

NPI: 1518620525
Provider Name: MATTHEW BOURQUEIN, PHARMD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
1600 E TIPTON ST
SEYMOUR, IN
ZIP 47274
Phone: (812) 522-5252
Get Directions

Matthew Bourquein, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Seymour, IN. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Matthew Bourquein, PHARMD NPI is 1518620525. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 E TIPTON ST
SEYMOUR, IN
ZIP 47274-560
Phone: (812) 522-5252
Fax: (812) 522-6152

The enumeration date for this NPI number is 10/17/2021 and was last updated on 10/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	26029257A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26029257A	OTHER	INDIANA	INDIANA PHARMACIST LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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