MS. CHARLOTTE PETRIE (NPI# 1871905216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871905216 |
Entity Type | Individual |
Full Name | MS. CHARLOTTE PETRIE |
Credential | RPH |
Practice Address |
11351 E Washington St Indianapolis IN 46229-3101 |
Mailing Address |
11965 Halla Pl Fishers IN 46038-2770 |
Practice Telephone | 3178946710 |
Practice Fax Number | 3178946765 |
Mailing Telephone | 3178427886 |
Enumeration Date | 2014-05-20 |
Last Update Date | 2014-05-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26014276A | IN | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | STATE OF INDIANA | 26014276A | 01 |
Street Address |
11351 E WASHINGTON ST |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46229-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467722264 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2012-01-10 |
1598398745 | Brittany Rose Toney | Pharmacist | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2020-02-17 |
1215494893 | Naomi S Keizer | Pharmacist | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2019-03-01 |
1659800837 | Inderjit Singh Ajimal | Pharmacist | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2017-06-09 |
1730562737 | Alisa Jackson | Pharmacist | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2015-07-08 |
1902206774 | Usv Optical Inc. | Technician/Technologist | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2014-08-29 |
1245640598 | Monal Patel | Pharmacist | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2014-05-07 |
1811307168 | Daniel Swank | Pharmacist | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2014-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487150124 | Patrice R. Mosley | Registered Nurse | 9385 E Washington St, Indianapolis, IN 46229 | 2018-04-02 |
1013424621 | Latasha Fisher | Registered Nurse | 9822 Fulbrook Dr, Indianapolis, IN 46229 | 2018-01-04 |
1417324856 | Ourhealth Physicians Group, LLC | Clinic/Center | 9934 E Washington Street, Indianapolis, IN 46229 | 2015-09-01 |
1134479470 | Loving Hands Senior Care and Relocation | In Home Supportive Care | 9702 E Washington Ste 400 Pmd 185, Indianapolis, IN 46229 | 2012-09-13 |
1902155815 | Planned Parenthood of Indiana Eastside | Clinic/Center | 9385 E. Washington St., Indianapolis, IN 46229 | 2012-09-06 |
1407092497 | Amy Katherine Graham | Chiropractor | 11020 E 10th St Ste B, Indianapolis, IN 46229 | 2008-12-23 |
1043408610 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 9630 Washington Street, Indianapolis, IN 46229 | 2007-10-09 |
1487867024 | Holli A H Bowser | Dietitian, Registered | 9660 E Washington St, Indianapolis, IN 46229 | 2007-05-08 |
1336361708 | Dental Professionals of Indiana, P.C. | Dentist | 986 North Mitthoeffer, Indianapolis, IN 46229 | 2007-05-03 |
1386865558 | Gary Lee Bacon | Dentist | 316 Washington Pointe Drive, Indianapolis, IN 46229 | 2007-05-02 |
Find all providers in zip 46229 |
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 |
1275610974 | Jeanne Hawkins Vantyle | Pharmacist | 4600 Sunset Ave, Indianapolis, IN 46208-3443 | 2006-11-01 |
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 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46229 |
Please comment or provide details below to improve the information on MS. CHARLOTTE PETRIE.
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.