Healthcare Provider Details

I. General information

NPI: 1386565570
Provider Name (Legal Business Name): DENNIS FLANAGAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5435 E 16TH ST
INDIANAPOLIS IN
46218-4869
US

IV. Provider business mailing address

10643 STANDISH PL
NOBLESVILLE IN
46060-6898
US

V. Phone/Fax

Practice location:
  • Phone: 317-941-4257
  • Fax: 317-941-4015
Mailing address:
  • Phone: 317-941-4257
  • Fax: 317-941-4015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number26019224
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: