Organization Active NPI

Anderson Burris Inc

  • Community/Retail Pharmacy
  • Hope, IN
National Provider Identifier
1164960688
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006601A Issued in IN
Legal business name
ANDERSON BURRIS INC
Doing business as
Hope Wellness Pharmacy
Practice address
645 Harrison St
Hope, IN 47246-1203
Phone
(812) 287-8884
Fax
(812) 287-8921
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Lester BurrisNPI 1689062671
Title
President
Phone
(812) 546-2502

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60006601A IN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

645 Harrison St
Hope, IN 47246-1203

Mailing address

PO Box 366
Bedford, IN 47421-0366
Phone (812) 546-2502

Other identifiers 2

IdentifierTypeStateIssuer
2167643OtherPK
300002470AMedicaidIN

Other names 1

  • Hope Wellness Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

645 Harrison St
Hope, IN 47246
Phone (260) 846-7199

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": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1164960688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474210366",
            "telephone_number": "812-546-2502",
            "fax_number": "812-546-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 HARRISON ST",
            "city": "HOPE",
            "state": "IN",
            "postal_code": "472461203",
            "telephone_number": "812-287-8884",
            "fax_number": "812-287-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON BURRIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "LESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-546-2502"
    },
    "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": "60006601A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167643",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300002470A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.