Prairestone Pharmacy Llc is not a DME supplier for medicare equipments and products.
Prairestone Pharmacy Llc is a Community/Retail Pharmacy in Indianapolis, Indiana. It is located at 9320 Priority Way West Dr, Indianapolis and it's customer support contact number is 317-573-0045. The authorized person of Prairestone Pharmacy Llc is Matt Middendorf who is Chief Financial Office of the pharmacy and his contact number is 317-569-8234. Active license number of Prairestone Pharmacy Llc is 60006165A for Community/Retail Pharmacy in Indiana. Prairestone Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Prairestone Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Prairestone Pharmacy Llc
Type:
Community/Retail Pharmacy
Location:
9320 Priority Way West Dr, Indianapolis, Indiana, 46240-1468
Phone:
317-573-0045
Fax:
317-573-0206
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Matt Middendorf
Position:
Chief Financial Office
Contact Number:
317-569-8234
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1235388356
NPI Enumeration Date:
12 Sep, 2008
NPI Last Update On:
15 Mar, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prairestone Pharmacy Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
60006165A
Indiana
Primary
Long Term Care Pharmacy
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2878186
Medicaid
Ohio
1562378
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 9830, Salt Lake City, Utah
Zip:
84109-9830
Phone Number:
877-540-4748
Fax Number:
801-716-4872
Patients can reach Prairestone Pharmacy Llc at 9320 Priority Way West Dr, Indianapolis, Indiana or can call on customer care at 317-573-0045.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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