Active NPI
Virag
- Long Term Care Pharmacy
- Thorntown, IN
National Provider Identifier
1811575822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- VIRAG
- Practice address
- 151 E Bow Street
Inside Witham Clinic
Thorntown, IN 46071 - Phone
- (765) 889-4735
- Fax
- (765) 548-5736
- NPI assigned
- Mar 31, 2021
- 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
- Dr. Saumiin Calcuttawala, PHARMD, MS
- Title
- Pharmacist in Charge
- Phone
- (317) 688-7050
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
151 E Bow Street
Inside Witham Clinic
Thorntown, IN 46071
Mailing address
1001 W Main St
Carmel, IN 46032-1433
Phone (317) 688-7050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300040693 | Medicaid | IN |
Other names 1
- Thorntown Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Carmel Prescription Shop
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Carmel, IN
- NPI 1255926416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617321600000",
"number": "1811575822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W MAIN ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321433",
"telephone_number": "317-688-7050",
"fax_number": "317-575-1094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 E BOW STREET",
"address_2": "INSIDE WITHAM CLINIC",
"city": "THORNTOWN",
"state": "IN",
"postal_code": "46071",
"telephone_number": "765-889-4735",
"fax_number": "765-548-5736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRAG",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-31",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A",
"authorized_official_last_name": "CALCUTTAWALA",
"authorized_official_first_name": "SAUMIIN",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "317-688-7050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD, MS"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300040693",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thorntown Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Thorntown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.