NPIMap

Organization Active NPI

Drugstore Max LLC

  • Community/Retail Pharmacy
  • Highland, IN
National Provider Identifier
1992976211
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054016432 Issued in IN
Legal business name
DRUGSTORE MAX LLC
Practice address
9228 Indianapolis Blvd
7C
Highland, IN 46322-2558
Phone
(219) 595-0437
Fax
(219) 595-0169
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Talitha Bangalan, RPH
Title
Ceo
Phone
(847) 501-0926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054016432 IN Primary

Addresses

Primary practice location

9228 Indianapolis Blvd
7C
Highland, IN 46322-2558

Mailing address

9228 Indianapolis Blvd
7C
Highland, IN 46322-2558
Phone (219) 595-0437

Other identifiers 1

IdentifierTypeStateIssuer
1562013OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • DRUGSTORE MAX LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drugstore Max3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9228 Indianapolis Blvd
Ste 7C
Highland, IN 46322
Phone (219) 595-0437

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1992976211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 INDIANAPOLIS BLVD",
            "address_2": "7C",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222558",
            "telephone_number": "219-595-0437",
            "fax_number": "219-595-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 INDIANAPOLIS BLVD",
            "address_2": "7C",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222558",
            "telephone_number": "219-595-0437",
            "fax_number": "219-595-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUGSTORE MAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "BANGALAN",
        "authorized_official_first_name": "TALITHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-501-0926",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "054016432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1562013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUGSTORE MAX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.