Fairmount Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAIRMOUNT PHARMACY

Practice address

124 N Main St
Fairmount, IN 46928-1654

Phone

(765) 948-4111

Fax

(765) 948-4226

NPI assigned

Aug 20, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley CrumpNPI 1265523955

Title

President

Phone

(831) 758-0976

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Alan Crump

  • Pharmacist
  • Fairmount, IN
  • NPI 1265523955
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104931138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST",
            "city": "FAIRMOUNT",
            "state": "IN",
            "postal_code": "469281654",
            "telephone_number": "765-948-4111",
            "fax_number": "765-948-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-758-0976"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60005862A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1505760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aspire Indiana Health Inc. (Aspire Indiana Health - Madison-Grant)
• Bradley Alan Crump
• Bruce E Dryer, D.D.S.
• Fairmount Family Dentist
• Diana Geist, LPC, PIP
• Angela Joyce Grandlienard, MA, LMHC
• Cynthia M Hansel, LSW
• Mindy S Hussey
• Madison-Grant United School Corporation

• Durable Medical Equipment & Medical Supplies in Fairmount, IN
• Providers in Fairmount, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.