Brenda Farrow
Individual provider Active NPI Pharmacist · Camby, IN
NPI 1467052944 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1467052944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26022950A (IN)
- Practice address
- 8191 Upland Way
Camby, IN 46113-7800 - Phone
- (317) 856-9521
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022950A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26022950A | IN | Yes |
Addresses
Primary practice location
8191 Upland Way
Camby, IN 46113-7800
Mailing address
4741 Ladywood Bluff Dr
Indianapolis, IN 46226-2199
Phone (317) 372-5459
Other providers in Camby, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 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.