Organization Active NPI

Grandview Pharmacy, Inc.

  • Customized Equipment (DME)
  • Connersville, IN
National Provider Identifier
1760432173
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
60002003A Issued in IN
Legal business name
GRANDVIEW PHARMACY, INC.
Practice address
2330 N Park Rd
Connersville, IN 47331-2904
Phone
(866) 827-7575
Fax
(800) 228-0844
NPI assigned
May 10, 2006
Reactivated
Dec 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Mr. Glenn Eldridge, RPH
Title
President
Phone
(317) 858-6600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 60002003A IN Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 60002003A IN

Addresses

Primary practice location

2330 N Park Rd
Connersville, IN 47331-2904

Mailing address

474 Southpoint Cir
Brownsburg, IN 46112-2203
Phone (866) 827-7575

Other identifiers 1

IdentifierTypeStateIssuer
100295600MedicaidIN

Other names 1

  • Grandview Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

474 Southpoint Cir
Brownsburg, IN 46112
Phone (317) 858-6600

2330 N Park Rd
Connersville, IN 47331
Phone (765) 825-3524

2230 N Park Rd
Connersville, IN 47331
Phone (765) 827-0847

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1760432173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 SOUTHPOINT CIR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122203",
            "telephone_number": "866-827-7575",
            "fax_number": "800-228-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N PARK RD",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312904",
            "telephone_number": "866-827-7575",
            "fax_number": "800-228-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-12-27",
        "deactivation_date": "2017-12-11",
        "reactivation_date": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-858-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IN",
            "license": "60002003A",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IN",
            "license": "60002003A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100295600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.