Active NPI
Paul Joseph Elmer, R.PH.
- Pharmacist
- Fishers, IN
National Provider Identifier
1134215833
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jan 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26013086
- Practice address
- 13018 New Britton Drive
Fishers, IN 46038 - Phone
- (317) 818-1059
- Fax
- (317) 818-1094
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26013086 | IN | Primary |
Addresses
Primary practice location
13018 New Britton Drive
Fishers, IN 46038
Mailing address
13018 New Britton Drive
Fishers, IN 46038
Phone (317) 818-1059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26013086 | Other | IN | PHARMACIST LICENSE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26013086 | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134215833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13018 NEW BRITTON DRIVE",
"city": "FISHERS",
"state": "IN",
"postal_code": "46038",
"telephone_number": "317-818-1059",
"fax_number": "317-818-1094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13018 NEW BRITTON DRIVE",
"city": "FISHERS",
"state": "IN",
"postal_code": "46038",
"telephone_number": "317-818-1059",
"fax_number": "317-818-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMER",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26013086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "26013086",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishers, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.