Organization Active NPI

Alivio Pharmacy, LLC

  • Community/Retail Pharmacy
  • Indianapolis, IN
National Provider Identifier
1356610299
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30179 Issued in FL
Legal business name
ALIVIO PHARMACY, LLC
Doing business as
Alivio Pharmacy, LLC
Practice address
2060 N Shadeland Ave Ste 101
Indianapolis, IN 46219-1764
Phone
(317) 354-8160
Fax
(317) 354-8162
NPI assigned
Dec 21, 2011
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Erika DuranNPI 1053715987
Title
Pic
Phone
(317) 354-8160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054.019801 IL
Community/Retail Pharmacy 3336C0003X PH30179 FL Primary
Mail Order Pharmacy 3336M0002X NU
Compounding Pharmacy 3336C0004X 60006279A IN

Addresses

Primary practice location

2060 N Shadeland Ave Ste 101
Indianapolis, IN 46219-1764

Mailing address

2060 N Shadeland Ave Ste 101
Indianapolis, IN 46219-1764
Phone (317) 354-8160

Other identifiers 3

IdentifierTypeStateIssuer
201193150AMedicaidIN
2133084OtherPK
30020380MedicaidIN

Other names 1

  • Alivio Pharmacy, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alivio Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2060 N Shadeland Ave
Ste 101
Indianapolis, IN 46219
Phone (317) 203-0402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1356610299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 N SHADELAND AVE STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191764",
            "telephone_number": "317-354-8160",
            "fax_number": "317-354-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 N SHADELAND AVE STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191764",
            "telephone_number": "317-354-8160",
            "fax_number": "317-354-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVIO PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "317-354-8160"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054.019801",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30179",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IN",
            "license": "60006279A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201193150A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133084",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30020380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alivio Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alivio Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 31, 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.

Verify at the official NPI Registry.