Active NPI
Mycare RX LLC
Doing business as MyCare Rx
- Pharmacy
- Indianapolis, IN
National Provider Identifier
1801617493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MYCARE RX LLC
- Doing business as
- MyCare Rx
- Practice address
- 3141 E Thompson Rd Ste 100
Indianapolis, IN 46227-6648 - Phone
- (317) 442-5711
- NPI assigned
- Oct 17, 2024
- Last updated
- Oct 17, 2024
- 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
- Nikki Adebomojo, DR.
- Title
- Manager
- Phone
- (317) 442-5711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
3141 E Thompson Rd Ste 100
Indianapolis, IN 46227-6648
Mailing address
3141 E Thompson Rd Ste 100
Indianapolis, IN 46227-6648
Phone (317) 442-5711
Other names 1
- MyCare Rx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260213002168 | IN | Part B Supplier - Pharmacy | 5193205763 | Practice locations: Indianapolis, IN |
National Provider Directory
National Provider Directory- Tax ID family
- Mycare RX
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Indianapolis, IN
- NPI 1558635367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1801617493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 E THOMPSON RD STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462276648",
"telephone_number": "317-442-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 E THOMPSON RD STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462276648",
"telephone_number": "317-442-5711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYCARE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "ADEBOMOJO",
"authorized_official_first_name": "NIKKI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "317-442-5711",
"authorized_official_credential": "DR."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyCare Rx",
"code": "3",
"type": "Doing Business As"
}
]
}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 Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.