Healthcare Provider Details

I. General information

NPI: 1174439459
Provider Name (Legal Business Name): JEFFREY ALLEN STARKEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 OAKLEY ST
EVANSVILLE IN
47710-1647
US

IV. Provider business mailing address

617 OAKLEY ST
EVANSVILLE IN
47710-1647
US

V. Phone/Fax

Practice location:
  • Phone: 812-450-6338
  • Fax:
Mailing address:
  • Phone: 812-450-6338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number26024126A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: