Active NPI
Justin T. Indihar, PHARM.D.
- Pharmacist
- Boaz, AL
National Provider Identifier
1235461377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16333
- Practice address
- 920 US Highway 431
Boaz, AL 35957-1732 - Phone
- (256) 593-6092
- Fax
- (256) 593-7445
- NPI assigned
- Jan 30, 2010
- Last updated
- Nov 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16333 | AL | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 16333 | AL |
Addresses
Primary practice location
920 US Highway 431
Boaz, AL 35957-1732
Mailing address
920 US Highway 431
Boaz, AL 35957-1732
Phone (256) 593-6092
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16333 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417132800000",
"number": "1235461377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 US HIGHWAY 431",
"city": "BOAZ",
"state": "AL",
"postal_code": "359571732",
"telephone_number": "256-593-6092",
"fax_number": "256-593-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 US HIGHWAY 431",
"city": "BOAZ",
"state": "AL",
"postal_code": "359571732",
"telephone_number": "256-593-6092",
"fax_number": "256-593-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDIHAR",
"first_name": "JUSTIN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-30",
"last_updated": "2014-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16333",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AL",
"license": "16333",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boaz, AL
- Healing Havein Counseling, LLC
- Hga Home Medical Equipment, LLC (Medical Centers Home Medical Equipment)
- HH Health System - Marshall LLC (Marshall Medical Center)
- Hudgins Family Chiropractic
- Diana Johnson Hudgins, D.C
- J Randolph Hawkins DMD PA
- Cody Jarmon, CRNP
- Benjamin L Jenkins, P.T.
- Andreana Megan Johnson, MD
- Antallia Shauntell Johnson, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.