Organization Active NPI

Meridian Health RX, LLC

Doing business as Meridian Health Rx

  • Community/Retail Pharmacy
  • Muncie, IN
National Provider Identifier
1528706785
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERIDIAN HEALTH RX, LLC
Doing business as
Meridian Health Rx
Practice address
205 N. Tillotson Avenue
Suite 100
Muncie, IN 47304-3900
Phone
(765) 215-2029
Fax
(765) 876-2707
NPI assigned
May 26, 2022
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Scott Riggs, MBA, CPA
Title
Cfo
Phone
(765) 254-5189

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

205 N. Tillotson Avenue
Suite 100
Muncie, IN 47304-3900

Mailing address

1620 W. Northwest Hwy
Suite 100
Grapevine, TX 76051-3219
Phone (817) 572-0009

Other names 1

  • Meridian Health Rx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Meridian Health RX LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

205 N Tillotson Ave
Ste 100
Muncie, IN 47304
Phone (765) 215-2029

205 N Tillotson Ave
Ste A
Muncie, IN 47304

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1528706785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W. NORTHWEST HWY",
            "address_2": "SUITE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513219",
            "telephone_number": "817-572-0009",
            "fax_number": "817-572-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N. TILLOTSON AVENUE",
            "address_2": "SUITE 100",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043900",
            "telephone_number": "765-215-2029",
            "fax_number": "765-876-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTH RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-09-17",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "765-254-5189",
        "authorized_official_credential": "MBA, CPA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Health Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meridian Health Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.