IndividualActive
James Tisdale, BSCPHARM, PHARMD
NPI 1306906672 · Pharmacotherapy Pharmacist · Indianapolis, IN
Provider details
- NPI number
- 1306906672
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- BSCPHARM, PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 26021035A (IN)
Practice location
1001 W 10th St
W7555 Myers Bldg, Whs, Purdue University
Indianapolis, IN 46202-2859
Phone: (317) 613-2315
Fax: (317) 613-2316
Mailing address
13787 Hickory Ridge Ct
Carmel, IN 46032-9128
Registry dates
- Enumerated
- 2006-12-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.