NPIMap

Organization Active NPI

Confidential Drug LLC

  • Long Term Care Pharmacy
  • Indianapolis, IN
National Provider Identifier
1891222584
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
60006610A Issued in IN
Legal business name
CONFIDENTIAL DRUG LLC
Doing business as
Confidential Drug, LLC
Practice address
8520 Bash St Ste D
Indianapolis, IN 46250
Phone
(888) 440-7117
Fax
(888) 296-7196
NPI assigned
May 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Lyman Eaton, RPHNPI 1437580529
Title
President/Ceo
Phone
(317) 989-7555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 60006610A IN Primary

Addresses

Primary practice location

8520 Bash St Ste D
Indianapolis, IN 46250

Mailing address

275 Medical Dr Unit 1008
PO Box 1008
Carmel, IN 46082-0178
Phone (888) 440-7117

Other identifiers 1

IdentifierTypeStateIssuer
2169849OtherPK

Other names 1

  • Confidential Drug, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

275 Medical Dr
Unit 1008
Carmel, IN 46082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1891222584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MEDICAL DR UNIT 1008",
            "address_2": "PO BOX 1008",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460820178",
            "telephone_number": "888-440-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 BASH ST STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "888-440-7117",
            "fax_number": "888-296-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENTIAL DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "LYMAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-989-7555",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60006610A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confidential Drug, LLC",
            "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 Jul 19, 2018; 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.