Healthcare Provider Details

I. General information

NPI: 1801934898
Provider Name (Legal Business Name): DAMASIUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8845 KENNEDY AVE
HIGHLAND IN
46322-1908
US

IV. Provider business mailing address

8845 KENNEDY AVE
HIGHLAND IN
46322-1908
US

V. Phone/Fax

Practice location:
  • Phone: 219-972-1700
  • Fax: 219-972-1915
Mailing address:
  • Phone: 219-972-1700
  • Fax: 219-972-1915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number60006040A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NATHAN JON DAMASIUS
Title or Position: OWNER/CEO
Credential: PHARMD
Phone: 219-972-1700