Organization
DRUGSTORE MAX LLC
Active
Organization
DRUGSTORE MAX LLC
Active
Other names
DRUGSTORE MAX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TALITHA BANGALAN RPH (CEO)
(847) 501-0926
Entity
Organization
Contact information
Practice address
9228 INDIANAPOLIS BLVD, 7C, HIGHLAND, IN 46322-2558
(219) 595-0437
(219) 595-0169
Mailing address
9228 INDIANAPOLIS BLVD, 7C, HIGHLAND, IN 46322-2558
(219) 595-0437
(219) 595-0169
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016432
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562013
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/14/2008
Last updated
05/12/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up