Healthcare Provider Details

I. General information

NPI: 1831139583
Provider Name (Legal Business Name): ONNURI HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 W 86TH ST
INDIANAPOLIS IN
46260-2257
US

IV. Provider business mailing address

1130 W 86TH ST
INDIANAPOLIS IN
46260-2257
US

V. Phone/Fax

Practice location:
  • Phone: 317-663-3513
  • Fax: 317-663-3517
Mailing address:
  • Phone:
  • Fax:

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 Number60005912A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SUNGLAK IM
Title or Position: PRESIDENT MANAGER
Credential: RPH MS
Phone: 317-663-3513