NPIMap

Organization Active NPI

Innovative RX, LLC

  • Community/Retail Pharmacy
  • Fishers, IN
National Provider Identifier
1063817161
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006415A Issued in IN
Legal business name
INNOVATIVE RX, LLC
Doing business as
Innovative Rx, LLC
Practice address
11954 Fishers Crossing Dr
Fishers, IN 46038-2702
Phone
(317) 845-9820
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Akram Abumahfouz
Title
Owner
Phone
(317) 531-4985

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60006415A IN Primary

Addresses

Primary practice location

11954 Fishers Crossing Dr
Fishers, IN 46038-2702

Mailing address

11954 Fishers Crossing Dr
Fishers, IN 46038-2702
Phone (317) 845-9820

Other identifiers 1

IdentifierTypeStateIssuer
2148539OtherPK

Other names 1

  • Innovative Rx, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1063817161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 FISHERS CROSSING DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382702",
            "telephone_number": "317-845-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11954 FISHERS CROSSING DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382702",
            "telephone_number": "317-845-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "ABUMAHFOUZ",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-531-4985"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006415A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Rx, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.