NPIMap

Organization Active NPI

Doctor's Pharmacy

  • Pharmacy
  • Highland, IN
National Provider Identifier
1164407441
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
60004131A Issued in IN
Legal business name
DOCTOR'S PHARMACY
Doing business as
Doctor's Pharmacy
Practice address
2727 Highway Ave
Pharmacy
Highland, IN 46322-1615
Phone
(219) 923-2520
Fax
(219) 923-2701
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mr. David Lee Gortat, R.PH.NPI 1588649867
Title
Secretary/Treasurer
Phone
(219) 923-2520

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 60004131A IN Primary

Addresses

Primary practice location

2727 Highway Ave
Pharmacy
Highland, IN 46322-1615

Mailing address

2727 Highway Ave
Pharmacy
Highland, IN 46322-1615
Phone (219) 923-2520

Other identifiers 1

IdentifierTypeStateIssuer
100298480AMedicaidIN

Other names 1

  • Doctor's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2727 Highway Ave
Highland, IN 46322
Phone (219) 838-9333

Practitioners & affiliated clinicians

Practitioners 3

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": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1164407441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 HIGHWAY AVE",
            "address_2": "PHARMACY",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221615",
            "telephone_number": "219-923-2520",
            "fax_number": "219-923-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HIGHWAY AVE",
            "address_2": "PHARMACY",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221615",
            "telephone_number": "219-923-2520",
            "fax_number": "219-923-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "GORTAT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "219-923-2520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60004131A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100298480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.