RESIDENTIAL CRF
NPI 1740248616
Pharmacy - Long Term Care Pharmacy in Connersville, IN

Active since May 02, 2006
2600 WESTERN AVE, CONNERSVILLE, IN 47331(765) 825-6800(765) 827-0011 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2019, Feb 6, 2019, Jan 28, 2019 and 1 more (4 updates tracked since 2019).

About Residential Crf NPPES

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

RESIDENTIAL CRF (NPI 1740248616) is a healthcare organization registered as a long term care pharmacy in Connersville, Indiana and active in the NPI registry since May 2006. The organization lists Jason C Allen, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1740248616
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSRC PHARMACY LLC
Location Address2600 WESTERN AVEConnersville, IN 47331-1803
Mailing Address2600 Western AveConnersville, IN 47331-1803 · (765) 825-6800 · Fax (765) 827-0011
Fax(765) 827-0011
Organization SubpartNo
Authorized OfficialJason C AllenPharmacist · (765) 825-6800
Enumeration DateMay 2, 2006
Last NPPES UpdateDecember 5, 20194 updates tracked since enumeration
NPI 1740248616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
2600 WESTERN AVE, Connersville, IN 47331

Other Names 1

Other NameResidential Crf

Other Identifiers 1

Medicaid200454050AIN

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
2600 WESTERN AVE
CONNERSVILLE, IN 47331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Src Pharmacy LLC's NPI number?

The NPI number for Src Pharmacy LLC is 1740248616. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is also known as Residential Crf.

Where is Src Pharmacy LLC located?

Src Pharmacy LLC is located at 2600 Western Ave, Connersville, IN 47331. The listed phone number is (765) 825-6800.

What is Src Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Src Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 40 other insurers list Src Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Src Pharmacy LLC was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.