Organization Active NPI

North Anthony Pharmacy & Wellness Center Inc

  • Community/Retail Pharmacy
  • Fort Wayne, IN
National Provider Identifier
1134493810
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006291A Issued in IN
Legal business name
NORTH ANTHONY PHARMACY & WELLNESS CENTER INC
Practice address
3537 N Anthony Blvd Ste a
Fort Wayne, IN 46805-1423
Phone
(260) 373-1083
Fax
(260) 739-3927
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Brent LosierNPI 1699131300
Title
Owner/President
Phone
(812) 320-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60006291A IN Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3537 N Anthony Blvd Ste a
Fort Wayne, IN 46805-1423

Mailing address

3537 N Anthony Blvd Ste a
Fort Wayne, IN 46805-1423
Phone (260) 373-1083

Other identifiers 1

IdentifierTypeStateIssuer
2133936OtherPK

Other names 1

  • North Anthony Pharmacy & Wellness Center Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

3537 N Anthony Blvd
#A
Fort Wayne, IN 46805
Phone (260) 373-1083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1134493810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 N ANTHONY BLVD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051423",
            "telephone_number": "260-373-1083",
            "fax_number": "260-739-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 N ANTHONY BLVD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051423",
            "telephone_number": "260-373-1083",
            "fax_number": "260-739-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ANTHONY PHARMACY & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "LOSIER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "812-320-4000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006291A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Anthony Pharmacy & Wellness Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.