Organization Active NPI

Pharma-Card West, Inc

  • Community/Retail Pharmacy
  • Hammond, IN
National Provider Identifier
1235197773
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60005324A Issued in IN
Legal business name
PHARMA-CARD WEST, INC
Practice address
5500 Hohman Ave
Hammond, IN 46320-1965
Phone
(219) 932-2920
Fax
(219) 933-2194
NPI assigned
May 3, 2006
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 60005324A IN Primary

Addresses

Primary practice location

5500 Hohman Ave
Hammond, IN 46320-1965

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
351712881001MedicaidIL

Other names 1

  • PHARMA-CARD HAMMOND Other name

National Provider Directory

National Provider Directory
Tax ID family
Pharma-Card Hammond2 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.

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": "1235197773",
    "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": "5500 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201965",
            "telephone_number": "219-932-2920",
            "fax_number": "219-933-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA-CARD WEST, 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": "60005324A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351712881001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMA-CARD HAMMOND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hammond, 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.