Active NPI
Andrew Huerta
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1295418580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26030465A
- Practice address
- 3003 Kessler Blvd North Dr
Indianapolis, IN 46222-1990 - Phone
- (317) 925-3788
- NPI assigned
- Aug 11, 2023
- Last updated
- Aug 11, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26030465A | IN | Primary |
Addresses
Primary practice location
3003 Kessler Blvd North Dr
Indianapolis, IN 46222-1990
Mailing address
6275 Kelsey Dr
Indianapolis, IN 46268-5045
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26030465A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3003 N Kessler Boulevard Dr
Indianapolis, IN 46222
Phone (317) 925-3788
Organizations & group practices 2
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": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1295418580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6275 KELSEY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462685045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 KESSLER BLVD NORTH DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462221990",
"telephone_number": "317-925-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUERTA",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26030465A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.