Active NPI
Madelyn Speakman, PHARMD
- Pharmacotherapy Pharmacist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26027963A
- Practice address
- 4242 E Dupont Rd
Fort Wayne, IN 46825-1759 - Phone
- (260) 279-2520
- Fax
- (260) 279-2545
- NPI assigned
- Jan 9, 2019
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26027963A | IN | Primary |
Addresses
Primary practice location
4242 E Dupont Rd
Fort Wayne, IN 46825-1759
Mailing address
4242 E Dupont Rd
Fort Wayne, IN 46825-1759
Phone (260) 279-2520
Other practice location 1
2990 N Wayne St
Angola, IN 46703-9121
Phone (260) 668-1110
Other practice location 2
6309 Lima Rd
Fort Wayne, IN 46818-1425
Phone (260) 497-1010
Other practice location 3
5909 Illinois Rd
Fort Wayne, IN 46804-1159
Phone (260) 434-3910
Other practice location 4
10301 State Route 37 (Maysville Road)
Fort Wayne, IN 46835
Phone (260) 492-1310
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 |
|---|---|---|---|
| 26027963A | IN | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Stores Limited Partnership | Current | Accepting new patients | |
| Meijer Stores Limited Partnership | Past | Accepting new patients |
Locations
4242 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 279-2520
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 and National Provider Directory roles.
-
- Pharmacy
- Fort Wayne, IN
- NPI 1740931500
-
- Community/Retail Pharmacy
- Noblesville, IN
- NPI 1124885041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1366915696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251759",
"telephone_number": "260-279-2520",
"fax_number": "260-279-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251759",
"telephone_number": "260-279-2520",
"fax_number": "260-279-2545"
}
],
"practiceLocations": [
{
"address_1": "2990 N Wayne St",
"address_purpose": "LOCATION",
"city": "Angola",
"state": "IN",
"postal_code": "467039121",
"country_code": "US",
"telephone_number": "260-668-1110",
"fax_number": "260-668-1165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6309 Lima Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468181425",
"country_code": "US",
"telephone_number": "260-497-1010",
"fax_number": "260-497-1065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5909 Illinois Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468041159",
"country_code": "US",
"telephone_number": "260-434-3910",
"fax_number": "260-434-3965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10301 State Route 37 (Maysville Road)",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "46835",
"country_code": "US",
"telephone_number": "260-492-1310",
"fax_number": "260-492-1365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEAKMAN",
"first_name": "MADELYN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26027963A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.