Organization Active NPI

Indiana Micro Hospital, LLC

  • Clinic Pharmacy
  • Noblesville, IN
National Provider Identifier
1063948206
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
INDIANA MICRO HOSPITAL, LLC
Practice address
9460 E 146TH St
Noblesville, IN 46060-4966
Phone
(317) 703-1999
NPI assigned
May 9, 2017
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Steven Graubart
Title
President
Phone
(713) 202-3831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

9460 E 146TH St
Noblesville, IN 46060-4966

Mailing address

1415 Louisiana St FL 27
Houston, TX 77002-7360

National Provider Directory

National Provider Directory

Locations

1415 Louisiana St
Fl 27
Houston, TX 77002

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1063948206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LOUISIANA ST FL 27",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770027360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 E 146TH ST",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604966",
            "telephone_number": "317-703-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA MICRO HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "GRAUBART",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-202-3831"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.