PURDUE UNIVERSITY (NPI# 1245474782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245474782 |
| Entity Type | Organization |
| Organization Name | PURDUE UNIVERSITY |
| Other Organization Name | TEACHING HOSPITAL PHARMACY |
| Practice Address |
625 Harrison St West Lafayette IN 47907-2026 |
| Practice Telephone | 7654947622 |
| Practice Fax Number | 7654962569 |
| Mailing Telephone | 7654947622 |
| Mailing Fax Number | 7654962569 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2010-01-15 |
| Authorized Official Name | WILSON GWIN (DIRECTOR) |
| Authorized Official Telephone | 7654947622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
6000923A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1562671 | 01 |
| Other Name | Type Code |
|---|---|
| Teaching Hospital Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295104669 | Purdue University | Clinic/Center | 425 E 5th Street, Suite B, Burlington, IN 46915 | 2015-09-16 |
| 1154622512 | Purdue University | Clinic/Center | 2200 169th St, Hammond, IN 46323-2068 | 2010-11-16 |
| 1871794826 | Purdue University | Clinic/Center | 420 N Market St, Monon, IN 47959-9799 | 2007-05-29 |
| 1780885731 | Purdue University | Clinic/Center | 509 North Street, Lafayette, IN 47901 | 2007-05-29 |
| 1326249376 | Purdue University | Dentist | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-05-29 |
| 1053512004 | Purdue University | Dentist | 2101 East Coliseum Boulevard, Neff Hall Room 109, Fort Wayne, IN 46805-1499 | 2007-05-29 |
| 1477549731 | Purdue University | Clinic/Center | 901 Prince William Rd, Suite A, Delphi, IN 46923-1759 | 2005-09-22 |
| 1225584295 | Purdue University | Nurse Practitioner | 2101 E Coliseum Blvd, Wu 234, Fort Wayne, IN 46805-1445 | 2016-08-30 |
| 1598111791 | Purdue University | Clinic/Center | 128 W Market St, Wolcott, IN 47995-8130 | 2016-05-06 |
| 1679917710 | Purdue University | Clinic/Center | 2101 E Coliseum Blvd, Walb Union 234, Fort Wayne, IN 46805-1445 | 2013-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PURDUE UNIVERSITY | 155 S Grant St, West Lafayette, IN 47907-2114 |
| Indiana Business Entities | PURDUE UNIVERSITY CALUMET CHAPTER OF SIGMA XI, INC. | Dept. of Mathematics Purdue Univ Calumet, 2200 169th St, Hammond, IN 46323 |
| Virginia Business Entities | Purdue University Global Inc. | 9000 Keystone Xing Ste 800, Indianapolis, Indiana 46240 |
| Oregon Corporations, Companies and Business Names | PURDUE UNIVERSITY GLOBAL, INC. | 9000 Keystone, #800, Indianapolis, IN 46240 |
| Colorado Business Entities | Purdue University Global, Inc. | 9000 Keystone, #800, Indianapolis, IN 46240 |
| Iowa Business Entities | PURDUE UNIVERSITY GLOBAL, INC. | 9000 Keystone, 800, Indianapolis, IN 46240 |
| Connecticut Business Registrations | PURDUE UNIVERSITY GLOBAL, INC. | 9000 Keystone Crossing #800, Indianapolis, IN 46240 |
| Washington State Corporations | PURDUE UNIVERSITY GLOBAL, INC. | 9000 Keystone, #800, Indianapolis, IN 46240 |
| Street Address |
625 HARRISON ST |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47907-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274464 | Christine Michelle Jones | Nurse Practitioner | Lyles-porter Hall 715 Clinic Drive, West Lafayette, IN 47907 | 2020-01-15 |
| 1013415033 | Brianna Johnson | Psychologist | 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 | 2018-01-24 |
| 1285095885 | Christina Ellen Manfred | Nurse Practitioner | 601 W. Stadium Ave, West Lafayette, IN 47907 | 2016-03-10 |
| 1265612626 | Anu Subramanian | Speech-Language Pathologist | 500 Oval Drive Purdue University, Dept of Speech Language and Hearing Sciences, West Lafayette, IN 47907 | 2007-11-13 |
| 1720163348 | Andrea Lynn Lopez | Specialist/Technologist | 900 N. University Ave, Room B63, West Lafayette, IN 47907 | 2006-10-25 |
| 1912914680 | Jeanette Stone Leonard | Audiologist | 715 Clinic Drive, Purdue University, West Lafayette, IN 47907 | 2006-08-02 |
| 1447224977 | Lindsey Ann Watson | Specialist/Technologist | 900 N University Dr, Mackey Arena, Room B60, West Lafayette, IN 47907 | 2006-02-13 |
| 1992280960 | Carol Callahan Lancaster | Nurse Practitioner | 601 Stadium Mall Drive, West Lafayette, IN 47907 | 2018-09-26 |
| 1104314046 | Lukas Micheal Passalacqua | Specialist/Technologist | 900 N John R Wooden Dr, West Lafayette, IN 47907 | 2018-04-26 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| Find all providers in zip 47907 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1356667109 | State of Indiana, Auditor of State | Pharmacy | 3851 N River Rd, Pharmacy Department, West Lafayette, IN 47906-3762 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932419314 | Cancer Care Partners LLC | Pharmacy | 301 E Day Rd Ste 300, Mishawaka, IN 46545-3455 | 2010-10-19 |
| 1093968448 | Skilled Care of Indiana LLC | Pharmacy | 9900 Westpoint Dr, Ste 100, Indianapolis, IN 46256-3358 | 2008-10-29 |
| 1043498850 | Indiana University Health Bloomington Inc | Pharmacy | 1355 W Bloomfield Rd, Bloomington, IN 47403-2051 | 2008-02-04 |
| 1942428420 | Parkview Hospital, Inc. | Pharmacy | 11104 Parkview Circle Drive, Fort Wayne, IN 46845-1704 | 2007-04-23 |
| 1205844495 | Whitley Memorial Hospital, Inc. | Pharmacy | 1260 E State Road 205, Columbia City, IN 46725 | 2006-08-03 |
| 1225080963 | Little Company of Mary Hospital of Indiana, Inc | Pharmacy | 800 W. 9th St, Jasper, IN 47546-2514 | 2006-05-17 |
| 1346248986 | Johnson Memorial Hospital | Pharmacy | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2005-07-08 |
| 1023588811 | Community Hospital of Bremen | Pharmacy | 1020 High Rd, Bremen, IN 46506-1093 | 2018-12-05 |
| 1437645587 | Rehabilitation Hospital of Indiana, Inc. | Pharmacy | 4141 Shore Dr, Indianapolis, IN 46254-2607 | 2018-07-02 |
| 1801204201 | Witham Memorial Hospital | Pharmacy | 2705 N Lebanon St, Lebanon, IN 46052-8621 | 2014-07-29 |
| Find all providers with the same taxonomy | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47907 |
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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.