Blue River Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006168A Issued in IN

Legal business name

BLUE RIVER PHARMACY INC

Doing business as

Blue River Pharmacy

Practice address

26 S Green St
Brownsburg, IN 46112-1251

Phone

(317) 286-3506

Fax

(317) 350-2917

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Julie Acra, PHARMACYNPI 1174274732

Title

Owner

Phone

(317) 286-3506

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Blue River Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Blue River Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blue River Pharmacy Inc

  dba Blue River Pharmacy

  • Community/Retail Pharmacy
  • Brownsburg, IN
  • NPI 1164090825
  NPD tax ID

Locations

Practitioners 1

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

• Julie E Acra, RPH

  • Pharmacist
  • Brownsburg, IN
  • NPI 1174274732
  NPD Authorized official

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1023268703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S GREEN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121251",
            "telephone_number": "317-286-3506",
            "fax_number": "317-350-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S GREEN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121251",
            "telephone_number": "317-286-3506",
            "fax_number": "317-350-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "ACRA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-286-3506",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006168A",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200914920A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Blessing, RBT
• Chris Blevins, RBT
• Mia Bley
• Blooming Services LLC
• Blue Blossom Home Care LLC
• Blue River Pharmacy Inc (Blue River Pharmacy)
• Heather Blue, RBT
• Lauryn Blunk, RBT
• Jackie Lynn Boatman
• Michael J Bode, M.D.

• Community/Retail Pharmacy in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.