Healthcare Provider Details

I. General information

NPI: 1245177922
Provider Name (Legal Business Name): AYAD ALI RPH, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 E 116TH ST #181
FISHERS IN
46038
US

IV. Provider business mailing address

8500 E 116TH ST #181
FISHERS IN
46038
US

V. Phone/Fax

Practice location:
  • Phone: 317-937-4362
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26031821A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: