EXTENDED PHARMACY 2 LLC (NPI# 1780151191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780151191 |
| Entity Type | Organization |
| Organization Name | EXTENDED PHARMACY 2 LLC |
| Practice Address |
9240 N Meridian St Indianapolis IN 46260-1880 |
| Practice Telephone | 3173432056 |
| Practice Fax Number | 3176638236 |
| Mailing Telephone | 3173432056 |
| Mailing Fax Number | 3176638236 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | ADAM MCCOY (OWNER) |
| Authorized Official Telephone | 3173432056 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Street Address |
9240 N MERIDIAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071196 | Joseph F. Heidelman | Dentist | 9240 N Meridian St, Ste 300, Indianapolis, IN 46260-1822 | 2005-05-27 |
| 1023405578 | Richard J. Grana, Phd Inc | Psychologist | 9240 N Meridian St, Ste 320, Indianapolis, IN 46260-1880 | 2015-04-22 |
| 1528485018 | Philip Zaneteas, Phd, Md, Inc., PC | Specialist | 9240 N Meridian St, Suite 350, Indianapolis, IN 46260-1880 | 2014-03-24 |
| 1609133974 | Kellie Higgins | Podiatrist | 9240 N Meridian St, Suite 260, Indianapolis, IN 46260-1880 | 2012-04-11 |
| 1700163102 | Martin Groff Ph.d. LLC | Psychologist | 9240 N Meridian St, Suite 320, Indianapolis, IN 46260-1880 | 2011-11-14 |
| 1447536271 | Michael T Maguire | Psychologist | 9240 N Meridian St, Suite 320, Indianapolis, IN 46260-1880 | 2011-10-25 |
| 1033495874 | Ellen Keris Maguire | Psychologist | 9240 N Meridian St, Suite 320, Indianapolis, IN 46260-1880 | 2011-10-25 |
| 1235412396 | Leah Elizabeth Morton | Psychologist | 9240 N Meridian St, Suite 320, Indianapolis, IN 46260-1880 | 2011-09-26 |
| 1871894832 | Julian Purcell Mcnees-lambert | Podiatrist | 9240 N Meridian St, Suite 260, Indianapolis, IN 46260-1880 | 2010-11-08 |
| 1003077488 | Moazzam Habib Md PC | Internal Medicine | 9240 N Meridian St, Suite 240, Indianapolis, IN 46260-1880 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1669030102 | Meds To You LLC | Pharmacy | 8250 Bash St Ste A3, Indianapolis, IN 46250-1938 | 2019-05-30 |
| 1174091557 | Rubicon Dtp, LLC | Pharmacy | 5751 W 73rd St # A, Indianapolis, IN 46278-1741 | 2018-11-05 |
| 1235388356 | Prairestone Pharmacy LLC | Pharmacy | 9320 Priority Way West Dr, Indianapolis, IN 46240-1468 | 2008-09-12 |
| 1760048755 | Rubicon Dtp, LLC | Pharmacy | 5751 W 73rd St # A, Indianapolis, IN 46278-1741 | 2019-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437609 | Damasius Inc | Pharmacy | 6949 Kennedy Ave Ste C, Hammond, IN 46323-2245 | 2020-05-05 |
| 1568099703 | In Touch of Indy, LLC | Pharmacy | 851 Columbia Rd Ste 190, Plainfield, IN 46168-7587 | 2020-03-26 |
| 1083188973 | Circle City Pharmacy, LLC | Pharmacy | 65 E Garner Rd Ste 200, Brownsburg, IN 46112-7867 | 2019-01-14 |
| 1962870295 | Pca Corrections LLC | Pharmacy | 1740 Williamsburg Dr Ste A, Jeffersonville, IN 47130-8066 | 2015-09-03 |
| 1407235013 | Cppltc LLC | Pharmacy | 482 W Navajo St Ste B, West Lafayette, IN 47906-1940 | 2015-05-28 |
| 1871986596 | N&m Investments | Pharmacy | 30 S Water St Ste B, Franklin, IN 46131-2316 | 2015-03-05 |
| 1588911895 | United Rx, LLC | Pharmacy | 2325 Pointe Pkwy, Carmel, IN 46032-3294 | 2012-08-07 |
| 1265674097 | Pauls Pharmacy Inc | Pharmacy | 4111 N Saint Joseph Ave, Evansville, IN 47720-1206 | 2009-03-25 |
| 1952577173 | Grandview Healthcare, L.L.C. | Pharmacy | 3402 Congressional Pkwy Ste A, Fort Wayne, IN 46808-4440 | 2008-05-07 |
| 1427108356 | Doctors Park Pharmacy | Pharmacy | 2030 Doctors Park Dr, Columbus, IN 47203-2221 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on EXTENDED PHARMACY 2 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.