Organization Active NPI

Amrut Jal LLC

Doing business as Hoosiers Prescription Shop

  • Pharmacy
  • Terre Haute, IN
National Provider Identifier
1124316260
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
60006258A Issued in IN
Legal business name
AMRUT JAL LLC
Doing business as
Hoosiers Prescription Shop
Practice address
3020 S 7TH St
Terre Haute, IN 47802-3902
Phone
(812) 232-9646
Fax
(812) 232-9647
NPI assigned
Jul 11, 2011
Last updated
Jul 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Ashok PatelNPI 1154946374
Title
Owner/Pharmacist
Phone
(812) 229-0454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X 60006258A IN Primary
Community/Retail Pharmacy 3336C0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3020 S 7TH St
Terre Haute, IN 47802-3902

Mailing address

88 Southgate CT
Terre Haute, IN 47802-4975
Phone (812) 229-0454

Other identifiers 1

IdentifierTypeStateIssuer
1563382OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HOOSIERS PRESCRIPTION SHOP Doing business as

National Provider Directory

National Provider Directory

Locations

3020 S 7th St
Terre Haute, IN 47802
Phone (812) 232-9646

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1124316260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SOUTHGATE CT",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024975",
            "telephone_number": "812-229-0454",
            "fax_number": "812-232-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023902",
            "telephone_number": "812-232-9646",
            "fax_number": "812-232-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRUT JAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "812-229-0454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60006258A",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1563382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOOSIERS PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.