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Src Pharmacy LLC

Src Pharmacy LLC is a healthcare organization registered as Long Term Care Pharmacy in Connersville, IN, holding Type 2 (organization) NPI 1740248616 since 2006. The authorized official on file is Jason Allen, Pharmacist.

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NPI 1740248616
Entity type Organization (Type 2)
Legal business name Src Pharmacy LLC
Other name <Unavail>
Practice address 2600 WESTERN AVE, Connersville, IN, 47331
Phone 7658256800
Fax 7658270011
Enumeration date 2006-05-02
Last updated in NPPES 2019-12-05

Authorized official

Name Jason Allen
Title Pharmacist
Phone 7658256800

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336L0003X Long Term Care Pharmacy Primary

Other identifiers

Identifier Type State Issuer
200454050A Medicaid IN
Copy-ready billing details
Provider: Src Pharmacy LLC
NPI: 1740248616
Taxonomy: 3336L0003X (Long Term Care Pharmacy)
Address: 2600 WESTERN AVE, Connersville, IN, 47331

Providers at this address

NPI Name Type Specialty Location
1013528256 Corinne Barrett Individual Family Nurse Practitioner Connersville, IN

Verify this record

Cross-check NPI 1740248616 against the authoritative CMS record: view Src Pharmacy LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Src Pharmacy LLC?
Src Pharmacy LLC is registered in NPPES as a Long Term Care Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-12-05.