IndividualActive
Adrian Mimms, PHARMD
NPI 1124629977 · Pharmacist · Indianapolis, IN
Provider details
- NPI number
- 1124629977
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26024165A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
7235 E 96th St
Indianapolis, IN 46250-3308
Phone: (317) 585-9387
Approximate (ZIP-level) locationGet directions
Mailing address
12455 Teacup Way
Indianapolis, IN 46235-6121
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.