Proscript LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006360A Issued in IN

Legal business name

PROSCRIPT LLC

Doing business as

Proscript Pharmacy

Practice address

9292 N Meridian St Ste 103
Indianapolis, IN 46260-1828

Phone

(855) 700-6001

Fax

(866) 700-6001

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Ziad Khader

Title

Owner

Phone

(317) 658-0001

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Proscript Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1831529288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9292 N MERIDIAN ST",
            "address_2": "STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601857",
            "telephone_number": "855-700-6001",
            "fax_number": "866-700-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9292 N MERIDIAN ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601828",
            "telephone_number": "855-700-6001",
            "fax_number": "866-700-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCRIPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "KHADER",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-658-0001"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006360A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143338",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proscript Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.