Active NPI
Tiffany Lynn Boelke, PHARMD, BCACP
- Ambulatory Care Pharmacist
- Indianapolis, IN
National Provider Identifier
1386926053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 26019849A
- Practice address
- 2669 Cold Spring Rd
Indianapolis, IN 46222-6211 - Phone
- (317) 966-1866
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 25, 2018
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 26019849A | IN | Primary |
Addresses
Primary practice location
2669 Cold Spring Rd
Indianapolis, IN 46222-6211
Mailing address
2669 Cold Spring Rd
Indianapolis, IN 46222-6211
Phone (317) 966-1866
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 |
|---|---|---|---|
| 26019849A | IN | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1386926053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2669 COLD SPRING RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462226211",
"telephone_number": "317-966-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2669 COLD SPRING RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462226211",
"telephone_number": "317-966-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOELKE",
"first_name": "TIFFANY",
"middle_name": "LYNN",
"credential": "PHARMD, BCACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IN",
"license": "26019849A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.