NPIMap

Organization Active NPI

Indiana University Health Inc

Doing business as IU Health Advanced Therapies Pharmacy

  • Mail Order Pharmacy
  • Plainfield, IN
National Provider Identifier
1396142964
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
60006420A Issued in IN
Legal business name
INDIANA UNIVERSITY HEALTH INC
Doing business as
IU Health Advanced Therapies Pharmacy
Practice address
390 Airtech Pkwy Ste 106a
Plainfield, IN 46168-7456
Phone
(317) 963-7100
Fax
(317) 963-7110
NPI assigned
Nov 26, 2014
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Patrick Sorgen
Title
Director of Pharmacy
Phone
(317) 948-1598

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Mail Order Pharmacy 3336M0002X 60006420A IN Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

390 Airtech Pkwy Ste 106a
Plainfield, IN 46168-7456

Mailing address

3988 Solutions Ctr
Chicago, IL 60677-3009
Phone (317) 963-9730

Other identifiers 2

IdentifierTypeStateIssuer
201272230AMedicaidIN
2149229OtherPK

Other names 1

  • IU Health Advanced Therapies Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150213001379 IN DME Supplier - Pharmacy 2365350675 Practice locations: Plainfield, IN

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Clinical Laboratory SVC28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Locations

355 W 16th St
Ste 1074
Indianapolis, IN 46202
Phone (317) 963-7100

390 Airtech Pkwy
Ste 106
Plainfield, IN 46168

390 Airtech Pkwy
Ste 106A
Plainfield, IN 46168
Phone (317) 963-7100

Ownership & related parties

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of Indiana IncIndianapolis, IN, CCN 153028 Hospital Other (51%) Feb 10, 1992
Indiana University Health Paoli HospitalPaoli, IN, CCN 151306 Hospital Operational/Managerial Control Jan 1, 2010
Indiana University Health Paoli HospitalPaoli, IN, CCN 15Z306 Hospital Operational/Managerial Control Jan 1, 2010
Iu Health Ball Memorial HospitalMuncie, IN, CCN 150089 Hospital Operational/Managerial Control Jan 9, 2009
Iu Health Bloomington HospitalBloomington, IN, CCN 150051 Hospital Operational/Managerial Control Jan 1, 2010
Iu Health Arnett HospitalLafayette, IN, CCN 150173 Hospital Operational/Managerial Control Aug 13, 2008
Iu Health Ball Memorial HospitalMuncie, IN, CCN 15T089 Hospital Operational/Managerial Control (100%) Jan 1, 2009
Iu Health Tipton HospitalTipton, IN, CCN 151311 Hospital Operational/Managerial Control Jan 1, 2009
Iu Health Tipton HospitalTipton, IN, CCN 15Z311 Hospital Operational/Managerial Control Jan 1, 2009
Iu Health White Memorial HospitalMonticello, IN, CCN 151312 Hospital Operational/Managerial Control Jul 1, 2011
Iu Health White Memorial HospitalMonticello, IN, CCN 15Z312 Hospital Operational/Managerial Control Jul 1, 2011
Indiana University Health Bedford HospitalBedford, IN, CCN 151328 Hospital Operational/Managerial Control (100%) Sep 15, 2005
Indiana University Health Bedford HospitalBedford, IN, CCN 15Z328 Hospital Operational/Managerial Control (100%) Sep 15, 2005
Iu Health FrankfortFrankfort, IN, CCN 151316 Hospital Operational/Managerial Control Jun 1, 2017
Iu Health FrankfortFrankfort, IN, CCN 15Z316 Hospital Operational/Managerial Control Jun 1, 2017
Iu Health JayPortland, IN, CCN 151320 Hospital Operational/Managerial Control Mar 1, 2018
Iu Health JayPortland, IN, CCN 15Z320 Hospital Operational/Managerial Control Mar 1, 2018
Indiana University Health HospiceIndianapolis, IN, CCN 151511 Hospice Operational/Managerial Control (100%) Jan 1, 1997
Iu Health Paoli Family and Internal MedicinePaoli, IN, CCN 158557 Rural health clinic Operational/Managerial Control Oct 1, 2020
Iu Health Blackford PhysiciansHartford City, IN, CCN 158558 Rural health clinic Operational/Managerial Control Jul 1, 2023

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1396142964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3988 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773009",
            "telephone_number": "317-963-9730",
            "fax_number": "317-963-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AIRTECH PKWY STE 106A",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687456",
            "telephone_number": "317-963-7100",
            "fax_number": "317-963-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "SORGEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "317-948-1598"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IN",
            "license": "60006420A",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201272230A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IU Health Advanced Therapies Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IU Health Advanced Therapies Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.