JILL MARIE BRODERICK (NPI# 1508402835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508402835 |
| Entity Type | Individual |
| Full Name | JILL MARIE BRODERICK |
| Credential | PHARMD |
| Practice Address |
8150 Rockville Rd Indianapolis IN 46214-3111 |
| Practice Telephone | 3172731349 |
| Practice Fax Number | 3172731350 |
| Mailing Telephone | 3172731349 |
| Mailing Fax Number | 3172731350 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26022057A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093357956 | Jill Sharon Broderick | Occupational Therapist | 37 Kings Rd Ste 101, Madison, NJ 07940-2500 | 2019-10-11 |
| 1710178199 | Jill Erin Broderick | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2007-08-09 |
| Street Address |
8150 ROCKVILLE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46214-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568535086 | Kroger Limited Partnership I | Pharmacy | 8150 Rockville Rd, Indianapolis, IN 46214-3111 | 2006-11-15 |
| 1215573456 | Meredith Mckinney | Pharmacist | 8150 Rockville Rd, Indianapolis, IN 46214-3111 | 2019-11-22 |
| 1144554015 | Angela M. Stewart-martin | Nurse Practitioner | 8150 Rockville Rd, Indianapolis, IN 46214-3111 | 2009-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982882098 | Tri-state Surgical Services, LLC | Clinic/Center | 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214 | 2008-01-31 |
| 1154508075 | Joe Edward Banks | Family Medicine | 900 N High School Rd, Indianapolis, IN 46214 | 2008-01-22 |
| 1003948365 | Catrissa R Hilson | Social Worker | 6804 Idlewood Trail, #602, Indianapolis, IN 46214 | 2007-03-12 |
| 1811025224 | Help At Home, Inc | Nursing Care | 650 North Girl School Road, Suite C35, Indianapolis, IN 46214 | 2007-02-28 |
| 1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
| 1871658070 | Kurt Robert Gossweiler | Dentist | 7901 Crawfordsville Rd, Ste E, Indianapolis, IN 46214 | 2006-12-27 |
| 1649380452 | Rockville Road Dentistry | Dentist | 6355 Rockville Road, Indianapolis, IN 46214 | 2006-08-30 |
| 1326035718 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 3017 Valley Farms Rd, Indianapolis, IN 46214 | 2005-09-30 |
| 1104341403 | Jacob Ready | Pharmacist | 7235 W 10th St, Indianapolis, IN 46214 | 2017-08-08 |
| 1821397779 | Avon Physical Medicine Inc | Physical Medicine & Rehabilitation | 8258 Rockville Rd, Indianapolis, IN 46214 | 2011-03-17 |
| Find all providers in zip 46214 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851928 | Alicia Helene Wojciechowski | Pharmacist | 5829 N New Jersey St, Indianapolis, IN 46220-2534 | 2020-11-02 |
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1548860802 | Adam Mccoy | Pharmacist | 9240 N Meridian St Ste 140, Indianapolis, IN 46260-2368 | 2020-10-27 |
| 1033716295 | Farah Khan | Pharmacist | 1928 Pamona Dr, Indianapolis, IN 46214-3361 | 2020-10-01 |
| 1760090690 | Kristy Ann Rapes | Pharmacist | 1901 N Senate Blvd # Ag401, Indianapolis, IN 46202-1246 | 2020-07-16 |
| 1306462288 | Katherine Marie Anderson | Pharmacist | 8441 Fairwind Ct, Indianapolis, IN 46256-1544 | 2020-06-17 |
| 1629698352 | Zachary William Howe | Pharmacist | 1701 N Capitol Ave Rm B222, Indianapolis, IN 46202-1203 | 2020-04-22 |
| 1528688603 | Justin Biancardi | Pharmacist | 550 University Blvd # R077, Indianapolis, IN 46202-5149 | 2020-04-20 |
| 1619506953 | Katherine Pola | Pharmacist | 6053 Halfmoon Ln, Indianapolis, IN 46220-4142 | 2020-04-08 |
| 1770120883 | Benjamin Neuenschwander | Pharmacist | 9851 E 59th St, Indianapolis, IN 46216-1124 | 2019-12-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46214 |
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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.