MR. JERRALD SCOTT PRUNER RPH
NPI 1104841899
Pharmacist - Pharmacotherapy in Indianapolis, IN

Q: What is Jerrald Pruner's NPI number?

The NPI number for Jerrald Pruner is 1104841899. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Jerrald Pruner's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

Q: When was this NPI record last updated?

The NPPES record for Jerrald Pruner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2006

1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 554-0000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Jerrald Scott Pruner Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRALD SCOTT PRUNER RPH (NPI 1104841899) is an individual pharmacotherapy provider in Indianapolis, Indiana, licensed in Indiana (26017683A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104841899

Entity TypeIndividualMale

Primary Taxonomy1835P1200X

Provider Legal NameMR. JERRALD SCOTT PRUNERCredential: RPH

Location Address1481 W 10TH STIndianapolis, IN 46202-2803

Mailing Address1482 W. 10th StIndianapolis, IN 46202 · (317) 554-0000

Phone(317) 554-0000

Sole ProprietorYes

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104841899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers

Taxonomy Code1835P1200X

License✔ Licensed in IN · 26017683A

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

1481 W 10TH ST, Indianapolis, IN 46202

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SATISH KENCHAIAH MD, MPH

Internal Medicine (Cardiovascular Disease)