NPIMap

Organization Active NPI

Grandview Pharmacy # 3

  • Community/Retail Pharmacy
  • Brownsburg, IN
National Provider Identifier
1538373691
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006056A Issued in IN
Legal business name
GRANDVIEW PHARMACY # 3
Practice address
474 Southpoint Circle
Suite 100
Brownsburg, IN 46112
Phone
(866) 827-7575
Fax
(800) 228-0844
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mr. Glenn Eldridge, RPH
Title
President/Owner
Phone
(866) 827-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60006056A IN Primary

Addresses

Primary practice location

474 Southpoint Circle
Suite 100
Brownsburg, IN 46112

Mailing address

474 Southpoint Circle
Suite 100
Brownsburg, IN 46112
Phone (866) 827-7575

Other identifiers 1

IdentifierTypeStateIssuer
200856980AMedicaidIN

National Provider Directory

National Provider Directory

Locations

474 Southpoint Cir
Ste 100
Brownsburg, IN 46112
Phone (866) 827-7575

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1538373691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 SOUTHPOINT CIRCLE",
            "address_2": "SUITE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "46112",
            "telephone_number": "866-827-7575",
            "fax_number": "800-228-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 SOUTHPOINT CIRCLE",
            "address_2": "SUITE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "46112",
            "telephone_number": "866-827-7575",
            "fax_number": "800-228-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW PHARMACY # 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "866-827-7575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006056A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200856980A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.