CARDINAL HEALTH 414, LLC (NPI# 1508272691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508272691 |
| Entity Type | Organization |
| Organization Name | CARDINAL HEALTH 414, LLC |
| Other Organization Name | CARDINAL HEALTH 414, LLC |
| Practice Address |
1100 Airport N, Suite D Ft. Wayne IN 46825 |
| Mailing Address |
7000 Cardinal Pl Dublin OH 43017-1091 |
| Practice Telephone | 2604891173 |
| Mailing Telephone | 6147577570 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | PAUL GOTTI (VP OPERATIONS) |
| Authorized Official Telephone | 6147575114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
60006375A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146742 | 01 |
| Other Name | Type Code |
|---|---|
| Cardinal Health 414, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073920641 | Cardinal Health 414, LLC | Pharmacy | 6156 Trust Dr Ste B, Holland, OH 43528-7860 | 2014-07-16 |
| 1548676794 | Cardinal Health 414, LLC | Pharmacy | 1212 Kinnear Rd, Columbus, OH 43212-1154 | 2014-07-09 |
| 1629484878 | Cardinal Health 414, LLC | Pharmacy | 2217 Arbor Blvd, Moraine, OH 45439-1521 | 2014-07-09 |
| 1366858516 | Cardinal Health 414, LLC | Pharmacy | 10400 E 48th Ave, Denver, CO 80238-2600 | 2014-07-09 |
| 1710393962 | Cardinal Health 414, LLC | Pharmacy | 846 Service Rd Rm 137e, East Lansing, MI 48824-7002 | 2014-07-09 |
| 1275949422 | Cardinal Health 414, LLC | Pharmacy | 1950 Bentley Ct Ste 200, Glendale Heights, IL 60139-2257 | 2014-07-09 |
| 1184030330 | Cardinal Health 414, LLC | Pharmacy | 3305 Lathrop St Ste 100, South Bend, IN 46628-4400 | 2014-07-09 |
| 1457767600 | Cardinal Health 414, LLC | Pharmacy | 9864 Windisch Rd Bldg 3, West Chester, OH 45069-3806 | 2014-07-09 |
| 1598171803 | Cardinal Health 414, LLC | Pharmacy | 411 Industry Rd Ste 500, Louisville, KY 40208-1659 | 2014-07-08 |
| 1780090092 | Cardinal Health 414, LLC | Pharmacy | 7920 Georgetown Rd Ste 100, Indianapolis, IN 46268-1698 | 2014-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017-1091 |
| Vermont Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Colorado Business Entities | Cardinal Health 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Oregon Corporations, Companies and Business Names | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Iowa Business Entities | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017 |
| Oklahoma Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Place, Dublin, OH 43017 |
| Connecticut Business Registrations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Place, Dublin, OH 43017 |
| Washington State Corporations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl, Dublin, OH 43017-1091 |
| Massachusetts Corporations | CARDINAL HEALTH 414, LLC | 7000 Cardinal Pl., Dublin, OH 43017 |
| New York State Corporations | CARDINAL HEALTH 414, LLC | 111 8th Avenue, New York, Ny 10011 |
| Street Address |
1100 AIRPORT N, SUITE D |
| City | FT. WAYNE |
| State | IN |
| Zip Code | 46825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 3336N0007X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Nuclear Pharmacy |
| A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures. |
| 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 |
|---|---|---|---|---|
| 1003291196 | Global Isotopes, LLC | Pharmacy | 14395 Bergen Blvd, Noblesville, IN 46060-3305 | 2015-07-30 |
| 1184030330 | Cardinal Health 414, LLC | Pharmacy | 3305 Lathrop St Ste 100, South Bend, IN 46628-4400 | 2014-07-09 |
| 1780090092 | Cardinal Health 414, LLC | Pharmacy | 7920 Georgetown Rd Ste 100, Indianapolis, IN 46268-1698 | 2014-07-08 |
| 1801202056 | Cardinal Health 414, LLC | Pharmacy | 2715 Main St, Highland, IN 46322-3636 | 2014-07-09 |
Please comment or provide details below to improve the information on CARDINAL HEALTH 414, LLC.
| 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.