Organization Active NPI

Flywheel Healthcare LLC

  • Long Term Care Pharmacy
  • Carmel, IN
National Provider Identifier
1770819872
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
60006208A Issued in IN
Legal business name
FLYWHEEL HEALTHCARE LLC
Doing business as
Young at Heart Pharmacy
Practice address
10330 N Meridian St Ste 110
Carmel, IN 46290-1024
Phone
(866) 308-4990
Fax
(877) 513-6937
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Barry Hart, PHARMACIST
Title
Managing Partner
Phone
(317) 213-5117

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHNR.FO.60319761 WA
Compounding Pharmacy 3336C0004X 265197 MN
Long Term Care Pharmacy 3336L0003X 60006208A IN Primary
Specialty Pharmacy 3336S0011X NRP.022459650-12 OH

Addresses

Primary practice location

10330 N Meridian St Ste 110
Carmel, IN 46290-1024

Mailing address

PO Box 3504
Carmel, IN 46082-3504
Phone (866) 308-4990

Other identifiers 2

IdentifierTypeStateIssuer
2122500OtherPK
200962160AMedicaidIN

Other names 1

  • Young at Heart Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1770819872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3504",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460823504",
            "telephone_number": "866-308-4990",
            "fax_number": "877-513-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901024",
            "telephone_number": "866-308-4990",
            "fax_number": "877-513-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYWHEEL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2022-01-20",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "317-213-5117",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PHNR.FO.60319761",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MN",
            "license": "265197",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60006208A",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OH",
            "license": "NRP.022459650-12",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200962160A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young at Heart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Young at Heart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.