LARRY JASON BREAKFIELD (NPI# 1821607094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821607094 |
Entity Type | Individual |
Full Name | LARRY JASON BREAKFIELD |
Credential | PHARMD |
Practice Address |
2200 Independence Dr Greenwood IN 46143-3400 |
Practice Telephone | 3178834145 |
Practice Fax Number | 3178834147 |
Mailing Telephone | 3178834145 |
Mailing Fax Number | 3178834147 |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-08-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26028850A | IN | Pharmacy Service Providers |
Street Address |
2200 INDEPENDENCE DR |
City | GREENWOOD |
State | IN |
Zip Code | 46143-3400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356414874 | Kroger Limited Partnership I | Pharmacy | 2200 Independence Dr, Greenwood, IN 46143-3400 | 2006-11-15 |
1770033417 | Venassia Howard | Nurse Practitioner | 2200 Independence Dr, Greenwood, IN 46143-3400 | 2016-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
Find all providers in zip 46143 |
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 |
---|---|---|---|---|
1295335933 | Lauren R Whitfield | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-30 |
1033718796 | Brooke Martin | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-22 |
1023616190 | Stephanie Adams Smith | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-12 |
1376140673 | Abigayle Renee Campbell | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841816766 | Kimberlee Chilcote | Pharmacist | 8275 Allison Pointe Trl Ste 370, Indianapolis, IN 46250-4298 | 2020-06-17 |
1700413721 | Damar Pharmacy Services LLC | Pharmacist | 5715 Decatur Blvd, Indianapolis, IN 46241-9561 | 2020-03-27 |
1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
1811537095 | Marla Ann Carroll | Pharmacist | 815 Highlander Point Drive, Floyds Knobs, IN 47119 | 2020-01-15 |
1508404815 | Shelli Ann Bulach | Pharmacist | 1034 Sr 229 North, Batesville, IN 47006 | 2019-12-17 |
1235773169 | Amy Epley | Pharmacist | 350 W Columbia St Ste 210, Evansville, IN 47710-1782 | 2019-11-04 |
1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
1093218489 | Sparkle Box | Pharmacist | 1908 Bluebird Ln, Munster, IN 46321-3429 | 2018-03-13 |
1194150490 | Janet Redmond | Pharmacist | 6911 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2013-09-05 |
1962751446 | Robert L Plant | Pharmacist | 3602 New Vision Drive, Fort Wayne, IN 46845 | 2012-08-30 |
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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.