DAMAR PHARMACY SERVICES LLC (NPI# 1700413721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700413721 |
| Entity Type | Organization |
| Organization Name | DAMAR PHARMACY SERVICES LLC |
| Practice Address |
5715 Decatur Blvd Indianapolis IN 46241-9561 |
| Mailing Address |
6067 Decatur Blvd Indianapolis IN 46241-9606 |
| Practice Telephone | 3178565201 |
| Practice Fax Number | 3178562333 |
| Mailing Telephone | 3178565201 |
| Mailing Fax Number | 3178562333 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | DR. JIM L DALTON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3174557106 |
| Authorized Official Credential | PSYD, HSPP, CSAY |
| Is Organization Subpart | Y |
| Parent Organization Name | DAMAR SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers |
| Street Address |
5715 DECATUR BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241-9561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816766 | Kimberlee Chilcote | Pharmacist | 8275 Allison Pointe Trl Ste 370, Indianapolis, IN 46250-4298 | 2020-06-17 |
| 1194150490 | Janet Redmond | Pharmacist | 6911 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2013-09-05 |
| 1972878445 | Brittany Chylene Mills | Pharmacist | 9486 Oakley Dr, Indianapolis, IN 46260-1330 | 2012-03-17 |
| 1326312836 | William Xavier Malloy | Pharmacist | 7590 Torbay Cir, Indianapolis, IN 46254-9659 | 2012-03-01 |
| 1932477437 | Megan Fitzgerald Dorrell | Pharmacist | 1701 N Senate Blvd # Ag401, Indianapolis, IN 46202-1239 | 2011-12-12 |
| 1629391404 | Chauntae Reynolds | Pharmacist | 7120 Clearvista Dr Ste 1900, Indianapolis, IN 46256-1569 | 2010-03-08 |
| 1740471465 | Ashley Holland Meredith | Pharmacist | 640 Eskenazi Ave Fl 3bank3, Indianapolis, IN 46202 | 2007-08-07 |
| 1407457047 | Morgan Corbin | Pharmacist | 7979 N Shadeland Ave, Indianapolis, IN 46250-2042 | 2020-11-02 |
| 1538771498 | Morgan Payne | Pharmacist | 1365 E 86th St, Indianapolis, IN 46240-1909 | 2020-08-20 |
| 1396353173 | Maria Elizabeth Szeszol | Pharmacist | 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 | 2020-07-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46241 |
Please comment or provide details below to improve the information on DAMAR PHARMACY SERVICES 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.