Active NPI
Tracy Eder
- Pharmacist
- Greenwood, IN
National Provider Identifier
1841731205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021782A
- Practice address
- 150 Marlin Dr
Greenwood, IN 46142-1451 - Phone
- (317) 885-3010
- NPI assigned
- Mar 17, 2017
- Last updated
- Mar 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26021782A | IN | Primary |
Addresses
Primary practice location
150 Marlin Dr
Greenwood, IN 46142-1451
Mailing address
12250 Wolverton Way
Fishers, IN 46037-4411
Phone (317) 501-7356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021782A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1841731205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12250 WOLVERTON WAY",
"city": "FISHERS",
"state": "IN",
"postal_code": "460374411",
"telephone_number": "317-501-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MARLIN DR",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421451",
"telephone_number": "317-885-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDER",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021782A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.