1ELEVAN BIORX, INC. — NPI 1831002989 (Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy in FISHERS, IN)

CMS-1500 Box 24J / 33a • NPI

1831002989

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336S0011X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy

Box 32 Service Location & ZIP+4

12001 EXIT 5 PKWY, FISHERS, IN, 46037-7940

✓ 9-Digit EDI 837 ZIP+4 (46037-7940)

Practice Phone & Referral Fax

(317) 732-1100

Fax: (317) 732-7885

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831002989 (1ELEVAN BIORX, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1831002989` (NPI-2 Organization / Facility)
Provider / Legal Name	1ELEVAN BIORX, INC.
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy NUCC Code: `3336S0011X` (Pharmacy, Specialty Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12001 EXIT 5 PKWY, FISHERS, IN, 46037-7940
Practice Telephone / Fax	Tel: (317) 732-1100 \| Fax: (317) 732-7885
Administrative Mailing Address	12001 EXIT 5 PKWY, FISHERS, IN, 46037-7940
Enumeration & Last Sync	Enumerated: 2026-09-28 \| CMS Record Updated: 2026-09-28
Authorized Official	LORI KILE (COO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12001 EXIT 5 PKWY, FISHERS, IN, 46037-7940

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Plain-English Taxonomy & CMS Crosswalk (3336S0011X)

What Does Taxonomy Code 3336S0011X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336S0011X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Specialty Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (1ELEVAN BIORX, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`333600000X` — Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`3336H0001X` — Pharmacy, Home Infusion Therapy Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Home Infusion Therapy Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`3336S0011X` — Pharmacy, Specialty Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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1ELEVAN BIORX, INC. (NPI #1831002989)