PURDUE GMP CENTER (NPI# 1265880389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265880389 |
| Entity Type | Organization |
| Organization Name | PURDUE GMP CENTER |
| Practice Address |
3070 Kent Ave West Lafayette IN 47906-1075 |
| Practice Telephone | 7654648414 |
| Practice Fax Number | 7654648408 |
| Mailing Telephone | 7654648414 |
| Mailing Fax Number | 7654648408 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | MRS. KIMBERLY S NEWBAUER (PRODUCTION COORDINATOR) |
| Authorized Official Telephone | 7654648414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 332900000X | IN | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PURDUE GMP CENTER LLC | 3070 Kent Ave, West Lafayette, IN 47906 |
| Indiana Business Entities | PURDUE GMP CENTER LLC | 300 Main St, Ste 900, Lafayette, IN 47901-1344 |
| Street Address |
3070 KENT AVE |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486523 | Innovative Medicine | Non-Pharmacy Dispensing Site | 3554 Promenade Pkwy Ste H, Lafayette, IN 47909-8418 | 2017-06-12 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1316354368 | American Health Network of Indiana | Non-Pharmacy Dispensing Site | 775 Manchester Ave Ste B, Ford Meter Box - Superior Health, Wabash, IN 46992-1420 | 2014-07-22 |
| 1528479110 | Flanders Employee Health Clinic | Non-Pharmacy Dispensing Site | 1144 Indy Ct, Evansville, IN 47725-6300 | 2014-05-16 |
| 1962837393 | Mh Nursing of Indiana, PC | Non-Pharmacy Dispensing Site | 1850 Riverfork Dr, C/o Bendix Health Center, Huntington, IN 46750-9004 | 2013-09-04 |
| 1982930483 | Jasper County Hospital | Non-Pharmacy Dispensing Site | 520 S Halleck Street, Demotte, IN 46310-8630 | 2009-10-19 |
| 1528255726 | Walgreen Co | Non-Pharmacy Dispensing Site | 1816 Franklin Street, Michigan City, IN 46360-4504 | 2007-10-02 |
| 1255364758 | Access Therapies At Home | Non-Pharmacy Dispensing Site | 5980 W 71st St Ste 201 A, Indianapolis, IN 46278-1785 | 2006-07-08 |
| 1679502686 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 190 Inks Drive, Winchester, IN 47394-8283 | 2006-07-02 |
| 1316940851 | Neuropsychiatric Associates, PC | Non-Pharmacy Dispensing Site | 2410 N Glendale Dr Ste A, Fort Wayne, IN 46804-8909 | 2005-05-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
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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.