NPIMap

Organization Active NPI

Cardinal Health 414, LLC

  • Nuclear Pharmacy
  • South Bend, IN
National Provider Identifier
1184030330
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacyTaxonomy code 3336N0007X
License
60006376A Issued in IN
Legal business name
CARDINAL HEALTH 414, LLC
Doing business as
Cardinal Health 414, LLC
Practice address
3305 Lathrop St Ste 100
South Bend, IN 46628-4400
Phone
(574) 233-5970
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Paul Gotti
Title
VP Operations
Phone
(614) 757-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Pharmacy 3336N0007X 60006376A IN Primary

Addresses

Primary practice location

3305 Lathrop St Ste 100
South Bend, IN 46628-4400

Mailing address

7000 Cardinal PL
Dublin, OH 43017-1091
Phone (614) 757-7570

Other identifiers 1

IdentifierTypeStateIssuer
2146684OtherPK

Other names 1

  • Cardinal Health 414, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Health 414 LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

3305 Lathrop St
Ste 100
South Bend, IN 46628
Phone (574) 233-5970

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1184030330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 CARDINAL PL",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171091",
            "telephone_number": "614-757-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 LATHROP ST STE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466284400",
            "telephone_number": "574-233-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTH 414, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "GOTTI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "614-757-5114"
    },
    "taxonomies": [
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "IN",
            "license": "60006376A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146684",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Health 414, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.