Active NPI
Gary Nephew
- Pharmacist
- Goshen, IN
National Provider Identifier
1033728175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26024001A
- Practice address
- 2824 Elkhart Rd
Goshen, IN 46526-1014 - Phone
- (574) 537-1111
- NPI assigned
- Jul 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024001A | IN | Primary |
Addresses
Primary practice location
2824 Elkhart Rd
Goshen, IN 46526-1014
Mailing address
1937 Country Cir S
Nappanee, IN 46550-8969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26024001A | Other | IN | INDIANA BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26024001A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephew Pharmacy PC | Current | Accepting new patients | |
| Nephew Pharmacy PC | Current | Accepting new patients |
Locations
2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Goshen, IN
- NPI 1164972212
-
- Community/Retail Pharmacy
- Nappanee, IN
- NPI 1619355294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1033728175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1937 COUNTRY CIR S",
"city": "NAPPANEE",
"state": "IN",
"postal_code": "465508969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 ELKHART RD",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465261014",
"telephone_number": "574-537-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEPHEW",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-24",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024001A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA BOARD OF PHARMACY",
"identifier": "26024001A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.