Indiana Premier Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

60006418A Issued in IN

Legal business name

INDIANA PREMIER PHARMACY

Doing business as

Indiana Premier Pharmacy

Practice address

8395 E 116TH St
Fishers, IN 46038-1520

Phone

(317) 288-0400

Fax

(317) 288-0677

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ghada El-BolkinyNPI 1831762137

Title

Pharmacy Manger

Phone

(317) 828-1280

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Indiana Premier Pharmacy Doing business as

Tax ID family

Indiana Premier Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Indiana Premier Pharmacy

  • Pharmacy
  • Fishers, IN
  • NPI 1093117426
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ghada El-Bolkiny

  • Pharmacist
  • Indianapolis, IN
  • NPI 1831762137
  NPD Authorized official

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1518403443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 E 116TH ST",
            "address_2": "SUITE 121",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381520",
            "telephone_number": "317-288-0400",
            "fax_number": "317-288-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381520",
            "telephone_number": "317-288-0400",
            "fax_number": "317-288-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA PREMIER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "EL-BOLKINY",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "PHARMACY MANGER",
        "authorized_official_telephone_number": "317-828-1280"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60006418A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Premier Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indiana Family Care Givers (Indiana Family Care Giver)
• Indiana Luna Care Physical Therapy LLC
• Indiana Oral & Maxillofacial Surgery Associates PC
• Indiana Physician Management-Northeast, LLC
• Indiana Premier Pharmacy
• Indiana Spine Group, PC
• Indiana Spine Group, PC
• Indiana University Health Ambulatory Surgery Centers, LLC (Fishers Surgery Center)
• Indiana University Health Inc (IU Health Pharmacy Fishers)
• Indiana University Health Inc (Sleep Apnea Education Center at Indiana University Health Saxony)

• Long Term Care Pharmacy in Fishers, IN
• Providers in Fishers, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.