Eagle Highland Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60003613 Issued in IN

Legal business name

EAGLE HIGHLAND PHARMACY INC

Practice address

9010 Crawfordsville Rd.
Indianapolis, IN 46234

Phone

(317) 299-3771

Fax

(866) 828-4069

NPI assigned

Dec 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Douglas Barton, PHARMDNPI 1871188839

Title

President

Phone

(317) 299-3771

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Barton

  • Pharmacist
  • Indianapolis, IN
  • NPI 1871188839
  NPD Authorized official
• Cynthia Kelly Hacherl

  • Pharmacist
  • Indianapolis, IN
  • NPI 1770178733
  NPD

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1427114651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 CRAWFORDSVILLE RD.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46234",
            "telephone_number": "317-299-3771",
            "fax_number": "866-828-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 CRAWFORDSVILLE RD.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46234",
            "telephone_number": "317-299-3771",
            "fax_number": "866-828-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HIGHLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-299-3771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60003613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100292870A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1524479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eagle Creek Dentistry, LLC
• Eagle Creek Dermatology
• Eagle Creek Internal Medicine PC
• Eagle Creek Obstetrics & Gynecology, PC
• Eagle Creek Urgent Care LLC
• Eagle Highlands Surgery Center LLC
• Eagle Highlands Surgery Center, LLC
• Jordan Kait Eagleson, LPTA
• Bridget Eaker
• Kara Eaks, LPN

• Community/Retail Pharmacy in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.