NPIMap

Organization Active NPI

Franciscan Health Lafayette

Doing business as Franciscan Outpatient Pharmacy Lafayette

  • Community/Retail Pharmacy
  • Lafayette, IN
National Provider Identifier
1114300340
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FRANCISCAN HEALTH LAFAYETTE
Doing business as
Franciscan Outpatient Pharmacy Lafayette
Practice address
1701 S Creasy LN RM 1W70
Lafayette, IN 47905-4972
Phone
(765) 428-3550
Fax
(765) 428-3551
NPI assigned
Jul 7, 2015
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCISCAN HEALTH LAFAYETTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Terrance E Wilson
Title
President & Ceo
Phone
(765) 502-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1701 S Creasy LN RM 1W70
Lafayette, IN 47905-4972

Mailing address

1701 S Creasy LN RM 1W70
Lafayette, IN 47905-4972
Phone (765) 428-3550

Other identifiers 1

IdentifierTypeStateIssuer
201341420MedicaidIN

Other names 1

  • Franciscan Outpatient Pharmacy Lafayette Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160406002281 IN Part B Supplier - Mass Immunization (Roster Biller Only) 4587568209 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crown Point, IN; Munster, IN; Michigan City, IN; Lafayette, IN; Indianapolis, IN
O20260121001630 IN Part B Supplier - Pharmacy 6204747470 Practice locations: Lafayette, IN

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Health Lafayette24 organizations share this tax ID, including this one
Part of
Franciscan Health Lafayette

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1720 Lafayette Rd
Ste 2
Crawfordsville, IN 47933
Phone (765) 362-5114

1415 Salem St
Lafayette, IN 47904
Phone (765) 446-1571

1415 Salem St
Ste B11
Lafayette, IN 47904
Phone (765) 423-6540

1501 Hartford St
Ste G540
Lafayette, IN 47904
Phone (765) 423-6540

1701 S Creasy Ln
Rm 1W70
Lafayette, IN 47905
Phone (765) 428-3550

3001 S Creasy Ln
Ste 100B
Lafayette, IN 47905
Phone (765) 423-6885

3535 Crouch St
Lafayette, IN 47905
Phone (765) 449-0781

3920 St Francis Way
Ste 215
Lafayette, IN 47905
Phone (765) 423-6880

1017 O Connor Blvd
#A
Monticello, IN 47960

1100 Kalberer Rd
West Lafayette, IN 47906
Phone (765) 423-6229

711 W Navajo St
West Lafayette, IN 47906
Phone (765) 775-5255

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Franciscan Home CareCrawfordsville, IN, CCN 157124 Home health agency Operational/Managerial Control (100%) Oct 12, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1114300340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S CREASY LN RM 1W70",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054972",
            "telephone_number": "765-428-3550",
            "fax_number": "765-428-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S CREASY LN RM 1W70",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054972",
            "telephone_number": "765-428-3550",
            "fax_number": "765-428-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH LAFAYETTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN HEALTH LAFAYETTE",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "765-502-4440"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201341420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Outpatient Pharmacy Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.