Healthcare Provider Details

I. General information

NPI: 1962320085
Provider Name (Legal Business Name): BARRY JOHN HART R.PH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12065 OLD MERIDIAN ST STE 105
CARMEL IN
46032-8773
US

IV. Provider business mailing address

668 GREENFORD TRL N
CARMEL IN
46032-1119
US

V. Phone/Fax

Practice location:
  • Phone: 317-564-7677
  • Fax: 866-673-1231
Mailing address:
  • Phone: 317-564-7677
  • Fax: 866-673-1231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26017136A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: