Individual provider Active NPI

Johanna Maria Whitmore, PHARM.D.

  • Pharmacist
  • Indianapolis, IN
National Provider Identifier
1073675336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26017802 Issued in IN
Practice address
2001 W 86TH St
Pharmacy Department
Indianapolis, IN 46240-0970
Phone
(317) 338-3682
Fax
(317) 338-3041
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26017802 IN Primary

Addresses

Primary practice location

2001 W 86TH St
Pharmacy Department
Indianapolis, IN 46240-0970

Mailing address

2001 W 86TH St
Pharmacy Department
Indianapolis, IN 46240-0970
Phone (317) 338-3682

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

LicenseStateTypeSpecialty
26017802INMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073675336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462400970",
            "telephone_number": "317-338-3682",
            "fax_number": "317-338-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462400970",
            "telephone_number": "317-338-3682",
            "fax_number": "317-338-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "JOHANNA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26017802",
            "primary": true
        }
    ],
    "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 Jul 8, 2007; 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.