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

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 and National Provider Directory roles.

• MSM Holdco, LLC

  • 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.
• Kelley Marie Edelbrock, M.A. CCC-SLP
• Melanie Jean Edmondson, ST

• All providers in Granger, IN
• 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.