NPIMap

Organization Active NPI

Ggii Indiana, LLC

  • Community/Retail Pharmacy
  • Lafayette, IN
National Provider Identifier
1700385663
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GGII INDIANA, LLC
Practice address
2250 Teal Rd
Lafayette, IN 47905-2218
Phone
(765) 637-7455
Fax
(765) 607-1561
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Joanna Bergum, PHARMD
Title
Director of Pharmacy Operations
Phone
(317) 450-5335

Specialties & licenses 1

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

Addresses

Primary practice location

2250 Teal Rd
Lafayette, IN 47905-2218

Mailing address

2250 Teal Rd
Lafayette, IN 47905-2218
Phone (765) 637-7455

Other names 1

  • Needler's Fresh Market Pharmacy #932 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GG II Indiana LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2250 Teal Rd
Lafayette, IN 47905
Phone (765) 637-7456

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1700385663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 TEAL RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052218",
            "telephone_number": "765-637-7455",
            "fax_number": "765-607-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 TEAL RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052218",
            "telephone_number": "765-637-7455",
            "fax_number": "765-607-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGII INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "BERGUM",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "317-450-5335",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Needler's Fresh Market Pharmacy #932",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.