EXTENDED PHARMACY 2 LLC NPI 1780151191

NPI Information

  • NPI: 1780151191
  • Provider Name: EXTENDED PHARMACY 2 LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 6030 W 62ND ST
    INDIANAPOLIS, IN
    ZIP 46278
  • Phone: (317) 343-2056

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NPI Details

EXTENDED PHARMACY 2 LLC is a long term care pharmacy pharmacy in Indianapolis, IN. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. EXTENDED PHARMACY 2 LLC NPI is 1780151191. The provider is registered as an organization entity type.

The provider's business location address is:

6030 W 62ND ST
INDIANAPOLIS, IN
ZIP 46278-909
Phone: (317) 343-2056
Fax: (877) 361-5651

The provider's authorized official is Adam Mccoy .
The authorized official title is Owner and has the following contact phone number (317) 343-2056.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 9/28/2023.

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
13336L0003XPharmacyLong Term Care PharmacyYes

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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