Purdue GMP Center

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

332900000X Issued in IN

Legal business name

PURDUE GMP CENTER

Practice address

3070 Kent Ave
West Lafayette, IN 47906-1075

Phone

(765) 464-8414

Fax

(765) 464-8408

NPI assigned

May 31, 2016

Last updated

May 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly S Newbauer

Title

Production Coordinator

Phone

(765) 464-8414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1265880389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 KENT AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061075",
            "telephone_number": "765-464-8414",
            "fax_number": "765-464-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 KENT AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061075",
            "telephone_number": "765-464-8414",
            "fax_number": "765-464-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDUE GMP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "NEWBAUER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRODUCTION COORDINATOR",
        "authorized_official_telephone_number": "765-464-8414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IN",
            "license": "332900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Price
• Jennifer Lyn Priest, RPH
• Susan Lynn Prieto-Welch, PH.D.
• Elizabeth Marie Pritchett
• Kyla Pruzin
• Purdue Sports Medicine WL
• Purdue University (Teaching Hospital Pharmacy)
• Purdue University (Purdue University Student Health Center)
• Purdue University (Nursing Center for Family Health)
• Purdue University (Purdue University Pharmacy)

• Non-Pharmacy Dispensing Site in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Non-Pharmacy Dispensing Site in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.