NPIMap

Organization Active NPI

Indiana University Health, Inc

Doing business as University Retail Pharmacy

  • Community/Retail Pharmacy
  • Indianapolis, IN
National Provider Identifier
1619946746
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60005575A Issued in IN
Legal business name
INDIANA UNIVERSITY HEALTH, INC
Doing business as
University Retail Pharmacy
Practice address
550 University Blvd
Uh 1425
Indianapolis, IN 46202-5149
Phone
(317) 944-3445
Fax
(317) 948-4346
NPI assigned
Mar 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jennifer Alvey
Title
SVP and Cfo
Phone
(317) 963-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60005575A IN Primary

Addresses

Primary practice location

550 University Blvd
Uh 1425
Indianapolis, IN 46202-5149

Mailing address

1633 N Capitol Ave
Suite 438
Indianapolis, IN 46202-1261
Phone (317) 963-9730

Other identifiers 2

IdentifierTypeStateIssuer
1535371OtherINNCPDP
200319450MedicaidIN

Other names 1

  • University Retail Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930079945 IN DME Supplier - Pharmacy 2365350675 Practice locations: Indianapolis, IN
O20130110000547 IN Part B Supplier - Mass Immunization (Roster Biller Only) 2365350675 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carmel, IN; Fishers, IN; Indianapolis, IN; Avon, IN

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clinical Laboratory SVC28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Locations

550 University Blvd
#1425
Indianapolis, IN 46202
Phone (317) 944-1888

Ownership & related parties

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of Indiana IncIndianapolis, IN, CCN 153028 Hospital Other (51%) Feb 10, 1992
Indiana University Health Paoli HospitalPaoli, IN, CCN 151306 Hospital Operational/Managerial Control Jan 1, 2010
Indiana University Health Paoli HospitalPaoli, IN, CCN 15Z306 Hospital Operational/Managerial Control Jan 1, 2010
Iu Health Ball Memorial HospitalMuncie, IN, CCN 150089 Hospital Operational/Managerial Control Jan 9, 2009
Iu Health Bloomington HospitalBloomington, IN, CCN 150051 Hospital Operational/Managerial Control Jan 1, 2010
Iu Health Arnett HospitalLafayette, IN, CCN 150173 Hospital Operational/Managerial Control Aug 13, 2008
Iu Health Ball Memorial HospitalMuncie, IN, CCN 15T089 Hospital Operational/Managerial Control (100%) Jan 1, 2009
Iu Health Tipton HospitalTipton, IN, CCN 151311 Hospital Operational/Managerial Control Jan 1, 2009
Iu Health Tipton HospitalTipton, IN, CCN 15Z311 Hospital Operational/Managerial Control Jan 1, 2009
Iu Health White Memorial HospitalMonticello, IN, CCN 151312 Hospital Operational/Managerial Control Jul 1, 2011
Iu Health White Memorial HospitalMonticello, IN, CCN 15Z312 Hospital Operational/Managerial Control Jul 1, 2011
Indiana University Health Bedford HospitalBedford, IN, CCN 151328 Hospital Operational/Managerial Control (100%) Sep 15, 2005
Indiana University Health Bedford HospitalBedford, IN, CCN 15Z328 Hospital Operational/Managerial Control (100%) Sep 15, 2005
Iu Health FrankfortFrankfort, IN, CCN 151316 Hospital Operational/Managerial Control Jun 1, 2017
Iu Health FrankfortFrankfort, IN, CCN 15Z316 Hospital Operational/Managerial Control Jun 1, 2017
Iu Health JayPortland, IN, CCN 151320 Hospital Operational/Managerial Control Mar 1, 2018
Iu Health JayPortland, IN, CCN 15Z320 Hospital Operational/Managerial Control Mar 1, 2018
Indiana University Health HospiceIndianapolis, IN, CCN 151511 Hospice Operational/Managerial Control (100%) Jan 1, 1997
Iu Health Paoli Family and Internal MedicinePaoli, IN, CCN 158557 Rural health clinic Operational/Managerial Control Oct 1, 2020
Iu Health Blackford PhysiciansHartford City, IN, CCN 158558 Rural health clinic Operational/Managerial Control Jul 1, 2023

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619946746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 N CAPITOL AVE",
            "address_2": "SUITE 438",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021261",
            "telephone_number": "317-963-9730",
            "fax_number": "317-963-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD",
            "address_2": "UH 1425",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-944-3445",
            "fax_number": "317-948-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ALVEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SVP AND CFO",
        "authorized_official_telephone_number": "317-963-0213"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005575A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1535371",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200319450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.