CARDINAL HEALTH 414, LLC (NPI# 1801202056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801202056 |
| Entity Type | Organization |
| Organization Name | CARDINAL HEALTH 414, LLC |
| Other Organization Name | CARDINAL HEALTH 414, LLC |
| Practice Address |
2715 Main St Highland IN 46322-3636 |
| Mailing Address |
7000 Cardinal Pl Dublin OH 43017-1091 |
| Practice Telephone | 2199243795 |
| 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 |
60006374A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146739 | 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 |
| 1508272691 | Cardinal Health 414, LLC | Pharmacy | 1100 Airport N, Suite D, Ft. Wayne, IN 46825 | 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 |
| 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 |
2715 MAIN ST |
| City | HIGHLAND |
| State | IN |
| Zip Code | 46322-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854289 | Jesse Robert Rickelman | Pharmacist | 2715 Main St, Highland, IN 46322-3636 | 2017-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431733 | Marielva Banks | Physician Assistant | 10343 Indianapolis Blvd Ste 104, Highland, IN 46322 | 2017-08-03 |
| 1467806596 | Archangel Home Care Inc | Home Health | 2148 45th Ste 205, Highland, IN 46322 | 2016-04-14 |
| 1427457886 | Veronica Addison | Community/Behavioral Health | 219 Indianapolis Blvd, Ste B, Highland, IN 46322 | 2014-08-21 |
| 1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
| 1043648207 | Wahbi Adad | Specialist | 8732 Woodward Ave, Highland, IN 46322 | 2013-10-28 |
| 1619229317 | Cleotis White | Counselor | 2646 Highway Ave Ste 108, Highland, IN 46322 | 2012-10-05 |
| 1912278904 | Noble Home Health Care LLC | Home Health | 2449 45th St, Suite D, Highland, IN 46322 | 2012-01-23 |
| 1891926531 | Saket B Sinha | Internal Medicine | 9030 Cline Ave, Highland, IN 46322 | 2009-07-29 |
| 1194998963 | Affordable Hearing Aid Center | Hearing Instrument Specialist | 2148 45th St, Highland, IN 46322 | 2008-04-11 |
| 1497954390 | Highland Clinic of Northwest Indiana Inc | General Practice | 2834 Highway Ave Ste 1, Highland, IN 46322 | 2007-07-12 |
| Find all providers in zip 46322 | ||||
| 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 |
| 1508272691 | Cardinal Health 414, LLC | Pharmacy | 1100 Airport N, Suite D, Ft. Wayne, IN 46825 | 2014-07-09 |
| 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 |
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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.