Provider Demographics
NPI:1174409494
Name:SORRELLS, MEGHAN ANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:ANNE
Last Name:SORRELLS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8474 S NASH DR
Mailing Address - Street 2:
Mailing Address - City:NINEVEH
Mailing Address - State:IN
Mailing Address - Zip Code:46164-9765
Mailing Address - Country:US
Mailing Address - Phone:812-216-4147
Mailing Address - Fax:
Practice Address - Street 1:2200 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-3400
Practice Address - Country:US
Practice Address - Phone:317-883-4145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26031203A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist