Individual provider Active NPI

Philip Anthony Card, RPH

  • Pharmacist
  • Spencer, IN
National Provider Identifier
1013518646
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26016247A Issued in IN
Practice address
823 W State Highway 46 Ste 1P1
Spencer, IN 47460-6748
Phone
(812) 829-2289
Fax
(812) 829-6412
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26016247A IN Primary

Addresses

Primary practice location

823 W State Highway 46 Ste 1P1
Spencer, IN 47460-6748

Mailing address

823 W State Highway 46 Ste 1P1
Spencer, IN 47460-6748
Phone (812) 829-2289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26016247AINMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1013518646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W STATE HIGHWAY 46 STE 1P1",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474606748",
            "telephone_number": "812-829-2289",
            "fax_number": "812-829-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W STATE HIGHWAY 46 STE 1P1",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474606748",
            "telephone_number": "812-829-2289",
            "fax_number": "812-829-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARD",
        "first_name": "PHILIP",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26016247A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.