GG II INDIANA, LLC (NPI# 1922574573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922574573 |
| Entity Type | Organization |
| Organization Name | GG II INDIANA, LLC |
| Other Organization Name | NEEDLER'S FRESH MARKET PHARMACY #929 |
| Practice Address |
320 N New Jersey St Indianapolis IN 46204-2113 |
| Practice Telephone | 4632035178 |
| Practice Fax Number | 3174232305 |
| Mailing Telephone | 4632035178 |
| Mailing Fax Number | 3174232305 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | JOANNA BERGUM (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 3174505335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Needler's Fresh Market Pharmacy #929 | Doing Business As Name - Organization |
| Street Address |
320 N NEW JERSEY ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851867493 | Joanna Bergum | Pharmacist | 320 N New Jersey St, Indianapolis, IN 46204-2113 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161909 | Damien Cares Inc. | Pharmacy | 26 N Arsenal Ave Ste B, Indianapolis, IN 46201-3808 | 2020-07-21 |
| 1346711611 | Rx for Less Pharmacy | Pharmacy | 10930 Pendleton Pike Ste 102, Indianapolis, IN 46236-3177 | 2018-12-16 |
| 1982197463 | 360 Pharmacy Care LLC | Pharmacy | 2441 Production Dr Ste 101, Indianapolis, IN 46241-4929 | 2018-06-11 |
| 1770095333 | Pharmscript of In LLC | Pharmacy | 6825 Hillsdale Ct, Building No 3, Indianapolis, IN 46250-2039 | 2017-11-03 |
| 1639608458 | Pca-corrections LLC | Pharmacy | 5925 W 71st St Ste B, Indianapolis, IN 46278-2713 | 2017-06-06 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1154676476 | Guardian Pharmacy of Indianapolis Ltc, LLC | Pharmacy | 6530 Corporate Dr, Indianapolis, IN 46278-2915 | 2012-07-24 |
| 1881969921 | Alixa Rx LLC | Pharmacy | 5635 W 96th St, Indianapolis, IN 46278-6011 | 2012-03-21 |
| 1376816744 | Affordable Rx Healthmart & Home Medical Equipments LLC | Pharmacy | 1635 E Southport Rd, Indianapolis, IN 46227-5213 | 2012-02-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
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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.