NPIMap

Organization Active NPI

Pharma-Card, Inc

  • Community/Retail Pharmacy
  • Portage, IN
National Provider Identifier
1154389302
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60004205A Issued in IN
Legal business name
PHARMA-CARD, INC
Practice address
6036 Lute Rd
Suite a
Portage, IN 46368-5008
Phone
(219) 763-3466
Fax
(219) 763-1162
NPI assigned
May 3, 2006
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Richard S Brychell, RPH
Title
President
Phone
(219) 464-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60004205A IN Primary

Addresses

Primary practice location

6036 Lute Rd
Suite a
Portage, IN 46368-5008

Mailing address

PO Box 1637
Valparaiso, IN 46384-1637
Phone (219) 464-0404

Other names 1

  • PHARMA-CARD PORTAGE Other name

National Provider Directory

National Provider Directory
Tax ID family
Pharma - Card Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6036 Lute Rd
Ste A
Portage, IN 46368
Phone (219) 763-3466

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1154389302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463841637",
            "telephone_number": "219-464-0404",
            "fax_number": "219-465-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 LUTE RD",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685008",
            "telephone_number": "219-763-3466",
            "fax_number": "219-763-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA-CARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "BRYCHELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-464-0404",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60004205A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMA-CARD PORTAGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portage, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.