Healthcare Provider Details

I. General information

NPI: 1003732371
Provider Name (Legal Business Name): REMONDA MIKHAIEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5349 W PIKE PLAZA RD
INDIANAPOLIS IN
46254-3011
US

IV. Provider business mailing address

17374 WELLBURN DR
WESTFIELD IN
46074-9946
US

V. Phone/Fax

Practice location:
  • Phone: 317-387-2400
  • Fax: 317-387-2415
Mailing address:
  • Phone: 818-587-6277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26031965A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: