Provider Demographics
NPI:1265223424
Name:KNAPP, MINDY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MINDY
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MINDY
Other - Middle Name:
Other - Last Name:BLAZEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:355 W 16TH ST STE 5400
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2393
Mailing Address - Country:US
Mailing Address - Phone:317-963-7248
Mailing Address - Fax:
Practice Address - Street 1:355 W 16TH ST STE 5400
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2393
Practice Address - Country:US
Practice Address - Phone:317-963-7248
Practice Address - Fax:317-963-7234
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26019988A1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology