Active NPI
Andrew Emmanuel Rafla, PHARMD
- Pharmacist
- Madison, IN
National Provider Identifier
1497174072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016973
- Practice address
- 567 Ivy Tech Dr
Madison, IN 47250-1802 - Phone
- (812) 273-6338
- NPI assigned
- Apr 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26026955A | IN | |
| Pharmacist | 183500000X | 016973 | KY | Primary |
Addresses
Primary practice location
567 Ivy Tech Dr
Madison, IN 47250-1802
Mailing address
3312 S Winchester Acres Rd
Louisville, KY 40223-1627
Other practice location 1
200 E Broadway
Louisville, KY 40202-2008
Phone (502) 568-4864
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 |
|---|---|---|---|
| 26026955A | IN | MD | Pharmacist |
| 016973 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1497174072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 S WINCHESTER ACRES RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402231627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 IVY TECH DR",
"city": "MADISON",
"state": "IN",
"postal_code": "472501802",
"telephone_number": "812-273-6338"
}
],
"practiceLocations": [
{
"address_1": "200 E Broadway",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402022008",
"country_code": "US",
"telephone_number": "502-568-4864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAFLA",
"first_name": "ANDREW",
"middle_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-10",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026955A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "016973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, IN
- William Porter
- Proactive Mso, LLC (Proactive MD Madison Health Center)
- Marcia Pyles, RN
- Quinco Consulting Center Inc (Quinco Behavioral Health Systems)
- Quinco Consulting Center Inc (Quinco Behavioral Health Systems)
- Desna Ratcliff, MS, OT
- Robin Anne Ray, MSW
- Leila Reed, PA-C
- Angela Raye Reedy, COTA
- Renal Treatment Centers Illinois Inc (Madison Dialysis Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.