Talaha Ahmad

Individual provider Active NPI Pharmacy Technician · Schererville, IN

NPI 1669068896 · NPPES record last updated Dec 11, 2020

Key facts

NPI
1669068896
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
45021596A (IN)
Practice address
2338 US Highway 41
Schererville, IN 46375-2810
Phone
(219) 865-4601
NPI assigned
Dec 11, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
45021596AINMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hook-Superx LLC Past
since Dec 13, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician
Group: 193200000X MULTI-SPECIALTY GROUP
183700000X 45021596A IN Yes

Addresses

Primary practice location

2338 US Highway 41
Schererville, IN 46375-2810

Mailing address

1720 Illinois CT
Crown Point, IN 46307-7180
Phone (219) 577-3020

Other providers in Schererville, IN

All providers in Schererville, IN · Pharmacy Technician in Indiana

Sources for this page

Verify at the official NPI Registry.