Active NPI
Ciarra Bodnar
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Indianapolis, IN
National Provider Identifier
1760085294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 26028381A
- Practice address
- 1299 W Southport Rd
Indianapolis, IN 46217-4174 - Phone
- (317) 859-5881
- NPI assigned
- Nov 18, 2020
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26028381A | IN | Primary |
Addresses
Primary practice location
1299 W Southport Rd
Indianapolis, IN 46217-4174
Mailing address
1299 W Southport Rd
Indianapolis, IN 46217-4174
Phone (317) 859-5881
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rx02734@CVSHealth.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26028381A | IN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Interoperability endpoints
- ciarra.bodnar@upmcdirect.com
- rx02734@cvshealth.com
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.
-
- Pharmacy
- Indianapolis, IN
- NPI 1699872184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1760085294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 W SOUTHPORT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462174174",
"telephone_number": "317-859-5881",
"fax_number": "317-865-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 W SOUTHPORT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462174174",
"telephone_number": "317-859-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODNAR",
"first_name": "CIARRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IN",
"license": "26028381A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rx02734@CVSHealth.com",
"affiliation": "N",
"address_1": "1299 W Southport Rd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462174174",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.