Active NPI
Elaine Fortner, RPH
- Pharmacist
- Princeton, IN
National Provider Identifier
1619005758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26016068A
- Practice address
- RR 1 Box 227
Princeton, IN 47670-9738 - Phone
- (812) 387-4006
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26016068A | IN | Primary |
Addresses
Primary practice location
RR 1 Box 227
Princeton, IN 47670-9738
Mailing address
RR 3 Box 62
Princeton, IN 47670-9504
Phone (812) 387-4006
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26016068A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619005758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 3 BOX 62",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476709504",
"telephone_number": "812-387-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 1 BOX 227",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476709738",
"telephone_number": "812-387-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTNER",
"first_name": "ELAINE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26016068A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, IN
- William Curtis Earnest V, FNP-C
- Lori Michelle Edwards, PHARMD
- Jessy Roy Emmett, HIS
- Christopher Martin Everett, PA-C
- Eye Center of Southwestern Indiana PC
- Brianna Nicole Garcia, FNP-BC
- Mary Elizabeth Garner, PT
- Rebekah R Garner, LAT, ATC
- Gibson Co. Area Rehabilitation Centers, Inc
- Gibson County Area Rehabilitation Centers Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.