MEDICARE: ALEC JAMES BLOOMFIELD PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26031478A	IN

General Provider Information

NPI Number	:	1326927443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEC JAMES BLOOMFIELD PHARMD

Provider Business Mailing Address
First Line	:	5550 N KEYSTONE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3458
Country	:	US
Telephone Number	:	317-610-2210
Fax Number	:	317-205-8065

Provider Business Practice Location Address
First Line	:	5550 N KEYSTONE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3458
Country	:	US
Telephone Number	:	317-610-2210
Fax Number	:	317-205-8065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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