Pill Stat RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PILL STAT RX LLC

Practice address

805 Beachway Dr
Indianapolis, IN 46224-7788

Phone

(317) 829-0550

Fax

(317) 829-0540

NPI assigned

May 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Todd Donnelly, PHARMACIST

Title

SVP Compliance

Phone

(216) 369-2200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HOMEFREE PHARMACY SERVICES Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Gaynor, RPH

  • Pharmacist
  • Indianapolis, IN
  • NPI 1437591393
  NPD (past)
• Victoria Lotzow

  • Pharmacist
  • Indianapolis, IN
  • NPI 1881007326
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1023064128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BEACHWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462247788",
            "telephone_number": "317-829-0550",
            "fax_number": "317-829-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BEACHWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462247788",
            "telephone_number": "317-829-0550",
            "fax_number": "317-829-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILL STAT RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "SVP COMPLIANCE",
        "authorized_official_telephone_number": "216-369-2200",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2024883",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100292670A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMEFREE PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James D Pike, D.O.
• Jennie L. Pike, NP
• Jonathan William Busald Pike, MD
• Julie M Pike, RD
• Molly Grace Pile, MOT, OTR/L
• Saila Thanu Pillai, MD, MS, MPH
• Jennifer Pillow, NP
• Pillpack LLC
• Piloted Schools of Indiana
• Marc J Pinchouck, M.D.

• All providers in Indianapolis, IN
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.