CM SPECIALTY PHARMACY LLC (NPI# 1609201730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609201730 |
Entity Type | Organization |
Organization Name | CM SPECIALTY PHARMACY LLC |
Other Organization Name | CM SPECIALTY PHARMACY |
Practice Address |
5510 Lafayette Rd Ste 260 Indianapolis IN 46254-1691 |
Mailing Address |
6005 W 71st St Indianapolis IN 46278-1705 |
Practice Telephone | 3178032069 |
Practice Fax Number | 3172931836 |
Mailing Telephone | 3178033436 |
Mailing Fax Number | 3178033437 |
Enumeration Date | 2013-09-09 |
Last Update Date | 2016-08-05 |
Authorized Official Name | JEFF JACKSON (OWNER/PHARMACIST) |
Authorized Official Telephone | 3178032069 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
60006341A | IN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2141973 | 01 |
Other Name | Type Code |
---|---|
CM Specialty Pharmacy | Doing Business As Name - Organization |
Street Address |
5510 LAFAYETTE RD STE 260 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46254-1691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952421927 | Jeffrey W Jackson | Pharmacist | 5510 Lafayette Rd Ste 260, Indianapolis, IN 46254-1691 | 2007-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
Find all providers in zip 46254 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831529288 | Proscript LLC | Pharmacy | 9292 N Meridian St Ste 103, Indianapolis, IN 46260-1828 | 2013-11-22 |
1699802082 | Winona Bldg. Pharmacy, Inc. | Pharmacy | 3266 N Meridian St Ste 106, Indianapolis, IN 46208-5839 | 2007-02-27 |
1083741474 | The 3171 Meridian Pharmacy, Inc. | Pharmacy | 3737 N Meridian St, 106, Indianapolis, IN 46208-4348 | 2007-02-27 |
1003973314 | Meridian North Pharmacy | Pharmacy | 9002 N Meridian St, Ste 106 B, Indianapolis, IN 46260-5381 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851934616 | Right Med Pharmacy, LLC | Pharmacy | 303 S Main St Ste 100, Mishawaka, IN 46544-2159 | 2019-10-24 |
1023678489 | Pure Pharmacy LLC | Pharmacy | 12425 Old Meridian St Ste B3, Carmel, IN 46032-8725 | 2019-06-18 |
1912461468 | Pain Management Centers of America | Pharmacy | 1101 Professional Blvd Ste 212, Evansville, IN 47714-8016 | 2019-01-29 |
1538678545 | Quality Care Pharmacy, LLC | Pharmacy | 4708 W Western Ave, South Bend, IN 46619-2306 | 2017-09-21 |
1891199295 | Anderson Healthcare Inc | Pharmacy | 350 S Van Buren St Ste F, Shipshewana, IN 46565-9197 | 2014-10-14 |
1528479946 | Ma Umiya LLC | Pharmacy | 112 N Randolph St, Garrett, IN 46738-1138 | 2014-05-20 |
1265795082 | Jay Shree Ganesh Inc | Pharmacy | 10124 Auburn Park Dr, Fort Wayne, IN 46825-2392 | 2012-06-18 |
1134493810 | North Anthony Pharmacy & Wellness Center Inc | Pharmacy | 3537 N Anthony Blvd Ste A, Fort Wayne, IN 46805-1423 | 2012-02-28 |
1720126295 | Dekalb Memorial Pharmacare LLC | Pharmacy | 1314 E 7th St Ste 104, Auburn, IN 46706-2533 | 2007-02-04 |
1134206824 | Turner Rx Inc | Pharmacy | 702 Buffaloville Rd, Dale, IN 47523-9693 | 2006-11-01 |
Find all providers with the same taxonomy |
City | INDIANAPOLIS |
Zip Code | 46254 |
Please comment or provide details below to improve the information on CM SPECIALTY PHARMACY 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.