MARWOOD LOW COST PHARMACY (NPI# 1235384827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235384827 |
| Entity Type | Organization |
| Organization Name | MARWOOD LOW COST PHARMACY |
| Other Organization Name | MARWOOD LOW COST PHARMACY |
| Practice Address |
3381 Kentucky Ave Indianapolis IN 46221-2305 |
| Practice Telephone | 3172466700 |
| Mailing Telephone | 3172466700 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | METHQAL ABU-MAHFOUZ (PHARMACIST) |
| Authorized Official Telephone | 3175901271 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARWOOD LOW COST PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 60006189A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200932340A | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1562582 | 01 |
| Other Name | Type Code |
|---|---|
| MARWOOD LOW COST PHARMACY | Doing Business As Name - Organization |
| Street Address |
3381 KENTUCKY AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46221-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598957474 | Kim M Malicoat | Occupational Therapy Assistant | 5019 Emmert Drive, Indianapolis, IN 46221 | 2007-08-14 |
| 1811066715 | Sarah A Wilson | Dentist | 3715 Kentucky Av, Suite B, Indianapolis, IN 46221 | 2006-11-06 |
| 1619074812 | Clarence H Thomas Md LLC | Family Medicine | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-09-20 |
| 1356326763 | Clarence Henry Thomas | Family Medicine | 6021 Kentucky Ave, Indianapolis, IN 46221 | 2005-12-08 |
| 1740443027 | Stacey Anne Ulery | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221 | 2008-07-07 |
| 1215019401 | Carol June Kauffman | Nurse Practitioner | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-10-19 |
| 1922096734 | William Vanosdol | Pediatrics | 2202 W Morris St, Indianapolis, IN 46221-1404 | 2005-10-06 |
| 1447644638 | Peter Rentsch | Specialist/Technologist | 1336 Shepard St, Indianapolis, IN 46221-1528 | 2015-03-25 |
| 1881681682 | Kathleen Anne Cohenour | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2005-10-05 |
| 1053956987 | Tracy L Morrison | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2019-11-14 |
| Find all providers in zip 46221 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161909 | Damien Cares Inc. | Pharmacy | 26 N Arsenal Ave Ste B, Indianapolis, IN 46201-3808 | 2020-07-21 |
| 1346711611 | Rx for Less Pharmacy | Pharmacy | 10930 Pendleton Pike Ste 102, Indianapolis, IN 46236-3177 | 2018-12-16 |
| 1982197463 | 360 Pharmacy Care LLC | Pharmacy | 2441 Production Dr Ste 101, Indianapolis, IN 46241-4929 | 2018-06-11 |
| 1770095333 | Pharmscript of In LLC | Pharmacy | 6825 Hillsdale Ct, Building No 3, Indianapolis, IN 46250-2039 | 2017-11-03 |
| 1639608458 | Pca-corrections LLC | Pharmacy | 5925 W 71st St Ste B, Indianapolis, IN 46278-2713 | 2017-06-06 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1154676476 | Guardian Pharmacy of Indianapolis Ltc, LLC | Pharmacy | 6530 Corporate Dr, Indianapolis, IN 46278-2915 | 2012-07-24 |
| 1881969921 | Alixa Rx LLC | Pharmacy | 5635 W 96th St, Indianapolis, IN 46278-6011 | 2012-03-21 |
| 1376816744 | Affordable Rx Healthmart & Home Medical Equipments LLC | Pharmacy | 1635 E Southport Rd, Indianapolis, IN 46227-5213 | 2012-02-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46221 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.