Abigail Jane Bartholomai, RPH
Individual provider Active NPI Pharmacist · Floyds Knobs, IN
NPI 1215210331 · NPPES record last updated Sep 25, 2011
Key facts
- NPI
- 1215210331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26019624A (IN)
- Practice address
- 200 Lafollette Sta S
Floyds Knobs, IN 47119-9776 - Phone
- (812) 923-0412
- Fax
- (812) 923-0622
- NPI assigned
- Sep 25, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26019624A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26019624A | IN | Yes |
Addresses
Primary practice location
200 Lafollette Sta S
Floyds Knobs, IN 47119-9776
Mailing address
3871 Highland Lake Dr
Georgetown, IN 47122-9758
Phone (812) 923-0412
Other providers in Floyds Knobs, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.