The 3171 Meridian Pharmacy, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

60007749 Issued in IN

Legal business name

THE 3171 MERIDIAN PHARMACY, INC.

Doing business as

Meridian Pharmacy

Practice address

3737 N Meridian St
106
Indianapolis, IN 46208-4348

Phone

(317) 283-6908

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lam Q Nguyen

Title

Owner

Phone

(317) 590-0829

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meridian Pharmacy Doing business as

Tax ID family

Meridian 3737 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.

• The 3171 Meridian Pharmacy, Inc.

  dba Meridian 3737 Pharmacy

  • Point of Service
  • Indianapolis, IN
  • NPI 1851349005
  NPD tax ID

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083741474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88247",
            "address_2": "3737 N MERIDIAN ST., #106",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462080247",
            "telephone_number": "317-283-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "106",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-283-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 3171 MERIDIAN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAM",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-590-0829",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IN",
            "license": "60007749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB #",
            "identifier": "1531804",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• That's a Promise Homecare LLC
• Laura Thatcher
• Kavitha Thatikonda
• Mohammad Thawabi, MD
• Annessa Rae Thayer, APRN
• The 3171 Meridian Pharmacy, Inc. (Meridian 3737 Pharmacy)
• The 360 Phlebotomy LLC (360 Onsite Laboratory)
• The Adult Caring Place LLC
• The Alpha Home Association of Greater Indianapolis, Inc
• The Altruist Group, LLC

• Compounding Pharmacy in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Compounding Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.