Healthcare Provider Details

I. General information

NPI: 1831002989
Provider Name (Legal Business Name): 1ELEVAN BIORX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 EXIT 5 PKWY
FISHERS IN
46037-7940
US

IV. Provider business mailing address

12001 EXIT 5 PKWY
FISHERS IN
46037-7940
US

V. Phone/Fax

Practice location:
  • Phone: 317-732-1100
  • Fax: 317-732-7885
Mailing address:
  • Phone: 317-732-1100
  • Fax: 317-732-7885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: LORI SUE KILE
Title or Position: COO
Credential: RPH
Phone: 317-732-1100