1821102658 NPI number — DR. ERIN RUTH ARKINS PHARM.D.

Table of content: DR. ERIN RUTH ARKINS PHARM.D. (NPI 1821102658)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821102658 NPI number — DR. ERIN RUTH ARKINS PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARKINS
Provider First Name:
ERIN
Provider Middle Name:
RUTH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1821102658
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
950 N MERIDIAN ST
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46204-1077
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-962-4016
Provider Business Mailing Address Fax Number:
317-962-2030

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1115 RONALD REAGAN PKWY
Provider Second Line Business Practice Location Address:
SUITE 318
Provider Business Practice Location Address City Name:
AVON
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46123-6910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-962-4016
Provider Business Practice Location Address Fax Number:
317-962-2030
Provider Enumeration Date:
08/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  26022037A , 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: 26022037A . This is a "PHARMACIST LICENSE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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