Active NPI
Diane Carol Layton, R.PH.
- Pharmacist
- Brazil, IN
National Provider Identifier
1265038129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26092030A
- Practice address
- 307 E National Ave
Brazil, IN 47834-2629 - Phone
- (812) 446-2301
- NPI assigned
- Dec 7, 2020
- Last updated
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 26092030A | IN | Primary |
Addresses
Primary practice location
307 E National Ave
Brazil, IN 47834-2629
Mailing address
209 Gardendale Rd
Terre Haute, IN 47803-1733
Phone (812) 240-5123
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26092030A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1265038129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 GARDENDALE RD",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478031733",
"telephone_number": "812-240-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E NATIONAL AVE",
"city": "BRAZIL",
"state": "IN",
"postal_code": "478342629",
"telephone_number": "812-446-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYTON",
"first_name": "DIANE",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26092030A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brazil, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.