1528566767 NPI number — ELI LILLY AND COMPANY PHARMACY

Table of content: DR. GABRIELLE DENIZE NEWSAM M.D. (NPI 1740512938)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528566767 NPI number — ELI LILLY AND COMPANY PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELI LILLY AND COMPANY PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528566767
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
LILLY CORPORATE CENTER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46285-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-276-3827
Provider Business Mailing Address Fax Number:
317-276-1733

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LILLY CORPORATE CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46285-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-276-3827
Provider Business Practice Location Address Fax Number:
317-276-1733
Provider Enumeration Date:
01/23/2018

Additional Information

Authorized Official

Authorized Official Last Name:
KWAK
Authorized Official First Name:
KARYN
Authorized Official Middle Name:
Authorized Official Title or Position:
CONSULTANT
Authorized Official Telephone Number:
317-276-3827

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0002X , with the licence number: 6000441A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2175414 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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