Noblesville Low Cost Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006483A/B Issued in IN

Legal business name

NOBLESVILLE LOW COST PHARMACY

Doing business as

Noblesville Low Cost Pharmacy

Practice address

758 Westfield Rd
Noblesville, IN 46062-6902

Phone

(317) 231-5252

Fax

(317) 900-7458

NPI assigned

Jul 7, 2015

Last updated

Oct 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Akram Abumahfouz

Title

Pharmacy Owner

Phone

(317) 231-5252

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Noblesville Low Cost Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1801279005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 WESTFIELD RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460626902",
            "telephone_number": "317-231-5252",
            "fax_number": "317-900-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 WESTFIELD RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460626902",
            "telephone_number": "317-231-5252",
            "fax_number": "317-900-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLESVILLE LOW COST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "ABUMAHFOUZ",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "317-231-5252"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006483A/B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20134960A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noblesville Low Cost Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.