FAIRMOUNT PHARMACY NPI 1104931138

NPI Information

  • NPI: 1104931138
  • Provider Name: FAIRMOUNT PHARMACY
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 124 N MAIN ST
    FAIRMOUNT, IN
    ZIP 46928
  • Phone: (765) 948-4111

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NPI Details

FAIRMOUNT PHARMACY is a durable medical equipment medical supplies in Fairmount, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FAIRMOUNT PHARMACY NPI is 1104931138. The provider is registered as an organization entity type.

The provider's business location address is:

124 N MAIN ST
FAIRMOUNT, IN
ZIP 46928-654
Phone: (765) 948-4111
Fax: (765) 948-4226

The provider's authorized official is Bradley Crump .
The authorized official title is President and has the following contact phone number (831) 758-0976.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy60005862AINDIANANo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11505760OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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