Josie Eleanor Klink, PHARMD
Individual provider Active NPI Pharmacist · Indianapolis, IN
NPI 1902679673 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1902679673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26024743A (IN)
- Practice address
- 1701 N Senate Ave, Inpatient Pharmacy Ag401
Indianapolis, IN 46202-5306 - Phone
- (317) 962-3278
- Fax
- (317) 962-5274
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051295877 | IL | MD | Pharmacist |
| 26024743A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051295877 | IL | |
| Pharmacist | 183500000X | 26024743A | IN | Yes |
Addresses
Primary practice location
1701 N Senate Ave, Inpatient Pharmacy Ag401
Indianapolis, IN 46202-5306
Mailing address
1701 N Senate Ave, Inpatient Pharmacy Ag401
Indianapolis, IN 46202-5306
Phone (317) 962-3278
Other practice location 1
550 N University Blvd
Inpatient pharmacy R-077
Indianapolis, IN 46202
Phone (317) 962-3278
Other names
- Dr. Josie Eleanor Petty
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.