Active NPI
Elvieanna Lynne Haines, PHARM D
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1003243114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26026396A
- Practice address
- 455 E Epler Ave
Indianapolis, IN 46227-1902 - Phone
- (317) 788-6671
- NPI assigned
- Oct 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26026396A | IN | Primary |
| Pharmacist | 183500000X | 15108 | OK |
Addresses
Primary practice location
455 E Epler Ave
Indianapolis, IN 46227-1902
Mailing address
455 E Epler Ave
Indianapolis, IN 46227-1902
Phone (317) 788-6671
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 |
|---|---|---|---|
| 26026396A | IN | MD | Pharmacist |
| 15108 | OK | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
455 E Epler Ave
Indianapolis, IN 46227
Phone (317) 788-6671
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 and National Provider Directory roles.
-
- Pharmacy
- Indianapolis, IN
- NPI 1033126032
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1003243114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E EPLER AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271902",
"telephone_number": "317-788-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E EPLER AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271902",
"telephone_number": "317-788-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "ELVIEANNA",
"middle_name": "LYNNE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026396A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.