Active NPI
Iom Health Systems, LP
Doing business as Lutheran Hospital of Indiana OP Pharmacy
- Community/Retail Pharmacy
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 60004852A
- Legal business name
- IOM HEALTH SYSTEMS, LP
- Doing business as
- Lutheran Hospital of Indiana OP Pharmacy
- Practice address
- 7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 435-7390
- NPI assigned
- Jan 18, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Sievers, RPH
- Title
- Network Director, Pharmacy Services
- Phone
- (260) 435-7442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 60004852A | IN | Primary |
Addresses
Primary practice location
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1516713 | Other | NABP |
Other names 1
- Lutheran Hospital of Indiana OP Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Lutheran Senior Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lutheran Hospital
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Wayne, IN
- NPI 1124157961
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Fort Wayne, IN
- NPI 1124238639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063565695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-435-7390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOM HEALTH SYSTEMS, LP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIEVERS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "NETWORK DIRECTOR, PHARMACY SERVICES",
"authorized_official_telephone_number": "260-435-7442",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IN",
"license": "60004852A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1516713",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lutheran Hospital of Indiana OP Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Wayne, IN
- Intrepid Insights, LLC
- Iom Health System LP (Lutheran Hospital)
- Iom Health System LP (Lutheran Hospital of Indiana)
- Iom Health System LP (The Imaging Center of Lutheran Hospital)
- Iom Health System LP (Lutheran Hospital of Indiana-Gero psych unit)
- Taylor Robert Ipsen, DO
- Iq Laboratories Inc
- Ajaz Iqbal, MD
- Toni L Irby, HAIR LOSS SPECIALIST
- Dominic Anthony Irelan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.