Carrie Ann Dunnem, CPHT

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

67001957A Issued in IN

Practice address

7355 Heritage Square Dr
Granger, IN 46530-5643

Phone

(574) 807-8222

NPI assigned

Jun 9, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Ann Leonard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MSM Holdco, LLC

  dba Martin's Pharmacy #2325

  • Community/Retail Pharmacy
  • Granger, IN
  • NPI 1427137751
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1992320519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52318 AVANELLE ST",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309196",
            "telephone_number": "574-271-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 HERITAGE SQUARE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305643",
            "telephone_number": "574-807-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNEM",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "67001957A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LEONARD",
            "middle_name": "ANN",
            "credential": "CPHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Woganee Mimi Dires, PHARMD
• Mary Ann R Domingo, M.D.
• Dr Kevin D Hancock PC
• Tamara Lynn Duchine, RPH
• Emma Katheryn Dunfee, DO
• Justin Anthony Dunnem, RPH
• Hilary K. Dye, M.D.
• Ear, Nose and Throat of Michiana P.C. (Campbell Ear, Nose and Throat)
• Kelley Marie Edelbrock, M.A. CCC-SLP
• Melanie Jean Edmondson, ST

• Community/Retail Pharmacy in Granger, IN
• Providers in Granger, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.