DR. DAVID LEO THACKER PHARMD NPI 1477801066

NPI Information

NPI: 1477801066
Provider Name: DR. DAVID LEO THACKER, PHARMD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
6101 N. KEYSTONE AVE
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 454-7505
Get Directions

DR. David Leo Thacker, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Indianapolis, IN. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. David Leo Thacker, PHARMD NPI is 1477801066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6101 N. KEYSTONE AVE
INDIANAPOLIS, IN
ZIP 46220-488
Phone: (317) 454-7505
Fax: (317) 454-7515

The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.

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
1	183500000X	Pharmacist		0202206395	VIRGINIA	No
2	183500000X	Pharmacist		RP0006855	WEST VIRGINIA	No
3	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	26023537A	INDIANA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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