Individual provider Active NPI

Joseph John Meyer, RPH

  • Pharmacist
  • Logansport, IN
National Provider Identifier
1164010591
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26015381A Issued in IN
Practice address
3420 E Market St
Logansport, IN 46947-2295
Phone
(574) 753-2518
NPI assigned
Dec 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 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 26015381A IN Primary

Addresses

Primary practice location

3420 E Market St
Logansport, IN 46947-2295

Mailing address

25118 County Road 20
Elkhart, IN 46517-3215
Phone (574) 596-2014

Other identifiers 1

IdentifierTypeStateIssuer
8901747317MedicaidIN

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
26015381AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin'S Super Markets of Logansport LLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

3420 E Market St
Logansport, IN 46947
Phone (574) 737-8060

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1164010591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25118 COUNTY ROAD 20",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173215",
            "telephone_number": "574-596-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472295",
            "telephone_number": "574-753-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26015381A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901747317",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.