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Andrew Demofonte, PharmD

Pharmacist in Carmel, IN. Individual provider (NPI-1).

NPI number1215453030
StatusActive
Last updated in NPPESAug 15, 2017

Details

NPI
1215453030
Entity type
Individual (NPI-1)
Name
Andrew Demofonte
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2017
Last updated
Aug 15, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist26027284AINYes

Practice location

10595 N Michigan Rd
Carmel, IN 46032-9685

Phone 317-872-5498

Mailing address

10595 N Michigan Rd
Carmel, IN 46032-9685

Phone 317-872-5498

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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