Active NPI
Elizabeth Rose Willis
- Pharmacist
- Carmel, IN
National Provider Identifier
1346860897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26027052A
- Practice address
- 12900 N Meridian St Ste 120
Carmel, IN 46032-5402 - Phone
- (317) 688-1919
- NPI assigned
- Apr 24, 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 | 26027052A | IN | Primary |
Addresses
Primary practice location
12900 N Meridian St Ste 120
Carmel, IN 46032-5402
Mailing address
12900 N Meridian St Ste 120
Carmel, IN 46032-5402
Phone (317) 688-1919
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 |
|---|---|---|---|
| 26027052A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality RX | Current | Accepting new patients |
Locations
12900 N Meridian St
Ste 120
Carmel, IN 46032
Phone (317) 688-1919
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 and National Provider Directory roles.
-
- Pharmacy
- Carmel, IN
- NPI 1639788540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1346860897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 N MERIDIAN ST STE 120",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325402",
"telephone_number": "317-688-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 N MERIDIAN ST STE 120",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325402",
"telephone_number": "317-688-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "ELIZABETH",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26027052A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.