Organization Active NPI

Healthnet Pharmacy LLC

  • Community/Retail Pharmacy
  • Indianapolis, IN
National Provider Identifier
1811613870
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEALTHNET PHARMACY LLC
Practice address
3403 E Raymond St Ste B
Indianapolis, IN 46203-4782
Phone
(463) 268-6337
Fax
(317) 449-5879
NPI assigned
Oct 12, 2022
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHNET, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Varon E Cantrell, MD
Title
President
Phone
(317) 957-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3403 E Raymond St Ste B
Indianapolis, IN 46203-4782

Mailing address

3403 E Raymond St Ste B
Indianapolis, IN 46203-4782
Phone (463) 268-6337

Other identifiers 1

IdentifierTypeStateIssuer
300074111MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Healthnet Pharmacy LLC2 organizations share this tax ID, including this one
Part of
Community Health Networ

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3401 E Raymond St
Ste 106
Indianapolis, IN 46203
Phone (832) 617-0290

3403 E Raymond St
Ste B
Indianapolis, IN 46203
Phone (463) 268-6337

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1811613870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034782",
            "telephone_number": "463-268-6337",
            "fax_number": "317-449-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034782",
            "telephone_number": "463-268-6337",
            "fax_number": "317-449-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNET PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHNET, INC.",
        "enumeration_date": "2022-10-12",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "VARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-957-2015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300074111",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 24, 2026; 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.