Cordant Pharmacy Indiana LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006573A Issued in IN

Legal business name

CORDANT PHARMACY INDIANA LLC

Practice address

5250 E US Highway 36 Ste 660
Avon, IN 46123-7996

Phone

(765) 293-9211

Fax

(317) 735-2009

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Bradley Eckmann

Title

Chief of Staff

Phone

(502) 314-0146

Specialties & licenses 2

Addresses

Other names 1

• Cordant Pharmacy Solutions Doing business as

Locations

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1588015010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 E 46TH AVE",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393116",
            "telephone_number": "855-895-8090",
            "fax_number": "303-371-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 E US HIGHWAY 36 STE 660",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237996",
            "telephone_number": "765-293-9211",
            "fax_number": "317-735-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDANT PHARMACY INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "ECKMANN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "502-314-0146"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006573A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordant Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cordant Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Avon, IN
• Providers in Avon, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.