Active NPI
Grandview Pharmacy, Inc.
- Customized Equipment (DME)
- Connersville, IN
National Provider Identifier
1760432173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 60002003A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100295600 | Medicaid | IN |
Other names 1
- Grandview Medical Equipment
National Provider Directory
National Provider DirectoryLocations
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.
-
- Geriatric Pharmacist
- Whitestown, IN
- NPI 1780033324
-
- Pharmacist
- Brownsburg, IN
- NPI 1316602436
-
- Pharmacist
- Brownsburg, IN
- NPI 1568127637
-
- Geriatric Pharmacist
- Brownsburg, IN
- NPI 1538517446
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.