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NPI Code Detail

MEDICARE: DR. RACHEL LYNNETTE CALVERT PHARMD., RPH.

MEDICARE: DR. RACHEL LYNNETTE CALVERT PHARMD., RPH.
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
1183500000XPharmacist26022151AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126022151AOTHERINLICENSE NUMBER

General Provider Information

NPI Number : 1427103704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL LYNNETTE CALVERT PHARMD., RPH.
Provider Business Mailing Address
First Line : 2550 LAKE CIRCLE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-4220
Country : US
Telephone Number : 317-879-2465
Fax Number : 317-879-2466
Provider Business Practice Location Address
First Line : 2550 LAKE CIRCLE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-4220
Country : US
Telephone Number : 317-879-2465
Fax Number : 317-879-2466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 09/23/2008

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