Active NPI
Anderson Burris Inc
- Community/Retail Pharmacy
- Hope, IN
National Provider Identifier
1164960688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 60006601A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lester Burris
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167643 | Other | PK | |
| 300002470A | Medicaid | IN |
Other names 1
- Hope Wellness Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Bloomington, IN
- NPI 1689062671
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.