DR. JEANNE HAWKINS VANTYLE (NPI# 1275610974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275610974 |
| Entity Type | Individual |
| Full Name | DR. JEANNE HAWKINS VANTYLE |
| Credential | PHARM.D. RPH |
| Practice Address |
4600 Sunset Ave Indianapolis IN 46208-3443 |
| Mailing Address |
502 Buckingham Dr Indianapolis IN 46208-3614 |
| Practice Telephone | 3179409417 |
| Practice Fax Number | 3179408520 |
| Mailing Telephone | 3172836326 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26013114A | IN | Pharmacy Service Providers |
| Street Address |
4600 SUNSET AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285260380 | Zachary Malecki | Specialist/Technologist | 4600 Sunset Ave, Indianapolis, IN 46208-3443 | 2020-03-20 |
| 1730651381 | Gregory Allan Taylor | Specialist/Technologist | 4600 Sunset Ave, Indianapolis, IN 46208-3443 | 2018-12-20 |
| 1154629244 | Isabel Clare Hagedorn | Pharmacist | 4600 Sunset Ave, Indianapolis, IN 46208-3443 | 2011-03-14 |
| 1093889164 | Erin Albert | Pharmacist | 4600 Sunset Ave, Indianapolis, IN 46208-3443 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922415066 | Meredith L Howard | Pharmacist | 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 | 2014-07-21 |
| 1558608604 | Jonathan O Onuorah | Pharmacist | 10076 Split Rock Way, Indianapolis, IN 46234-3192 | 2013-01-09 |
| 1457633356 | James E Carr | Pharmacist | 8923 S Meridian St, Indianapolis, IN 46217-6065 | 2011-09-15 |
| 1154603298 | Kimberly Elder | Pharmacist | 830 Gardenbrook Cir Apt K, Indianapolis, IN 46202-4657 | 2011-09-14 |
| 1235371170 | Winton Dennis Jones | Pharmacist | 7339 Brackenwood Dr, Indianapolis, IN 46260-5445 | 2009-03-24 |
| 1629192901 | Tate N Trujillo | Pharmacist | 1701 Senate Blvd # Ag401, Indianapolis, IN 46202-1239 | 2007-03-19 |
| 1093848707 | Jeanne M Chen | Pharmacist | 550 University Blvd # 1451, Indianapolis, IN 46202-5149 | 2007-03-13 |
| 1376659664 | Melanie Kathryn Kuester | Pharmacist | 1481 W Tenth Street, Indianapolis, IN 46202 | 2006-08-21 |
| 1689603235 | Amy Boldt | Pharmacist | 1481 W 10th St # 119, Indianapolis, IN 46202-2803 | 2006-07-03 |
| 1679502827 | James Brian Mowry | Pharmacist | I-65 & 21st Street, Ag373, Indianapolis, IN 46206-1367 | 2006-07-01 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46208 |
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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.