Colleen McGrath, PHARMD
Individual provider Active NPI Pharmacist · Elwood, IN
NPI 1417550211 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1417550211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2602655A (IN)
- Practice address
- 100 N Anderson St
Elwood, IN 46036-1541 - Phone
- (765) 552-9565
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2602655A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2602655A | IN | Yes |
Addresses
Primary practice location
100 N Anderson St
Elwood, IN 46036-1541
Mailing address
100 N Anderson St
Elwood, IN 46036-1541
Other providers in Elwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.