Active NPI
Jonathan Alexander Trawick, PHARM.D
- Pharmacist
- Anderson, IN
National Provider Identifier
1336768605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26027668A
- Practice address
- 1515 N Madison Ave
Anderson, IN 46011-3457 - Phone
- (765) 298-2409
- NPI assigned
- Apr 15, 2020
- 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 | 26027668A | IN | Primary |
Addresses
Primary practice location
1515 N Madison Ave
Anderson, IN 46011-3457
Mailing address
12876 Courage Xing
Fishers, IN 46037-5995
Phone (251) 458-1730
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 |
|---|---|---|---|
| 26027668A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1336768605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12876 COURAGE XING",
"city": "FISHERS",
"state": "IN",
"postal_code": "460375995",
"telephone_number": "251-458-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N MADISON AVE",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460113457",
"telephone_number": "765-298-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAWICK",
"first_name": "JONATHAN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26027668A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.