Local Health Indiana Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60005839A Issued in IN

Legal business name

LOCAL HEALTH INDIANA INC.

Practice address

300 E Elkhart
Bristol, IN 46507

Phone

(815) 715-8502

Fax

(574) 848-0663

NPI assigned

Sep 11, 2006

Organization subpart

No

Name

Selma Dzelil, PHARMD.

Title

VP Rdo

Phone

(815) 715-8502

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajandeep Kaur

  • Pharmacist
  • Bristol, IN
  • NPI 1144975566
  NPD
• Katrina A Yoder, R.PH.

  • Pharmacist
  • Bristol, IN
  • NPI 1932451473
  NPD (past)

Locations

• DBA Bristol Pharmacy Former Name Jai Chamunda Inc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2024.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1295839462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E ELKHART",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "46507",
            "telephone_number": "815-715-8502",
            "fax_number": "574-848-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ELKHART",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "46507",
            "telephone_number": "815-715-8502",
            "fax_number": "574-848-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCAL HEALTH INDIANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-04-16",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "DZELIL",
        "authorized_official_first_name": "SELMA",
        "authorized_official_title_or_position": "VP RDO",
        "authorized_official_telephone_number": "815-715-8502",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "60005839A",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60005839A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005839A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200126860A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1537135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Bristol Pharmacy Former Name Jai Chamunda Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Kay Flora, LMHC
• Goshen Health System, Inc
• Justin Grannell, DO
• Rajandeep Kaur
• Kimberley Lynne Landman, OTR/L
• Tamara L Pinto, NP-C
• Regional Home Health Care Inc
• Senior Mobility Incorporated
• Elaine L. Shafer, M.D.
• Brenda H. Spence, PH.D.

• All providers in Bristol, IN
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.