Active NPI
Pharma-Card West, Inc
- Community/Retail Pharmacy
- Hammond, IN
National Provider Identifier
1235197773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 60005324A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351712881001 | Medicaid | IL |
Other names 1
- PHARMA-CARD HAMMOND
National Provider Directory
National Provider Directory- Tax ID family
- Pharma-Card Hammond
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Hobart, IN
- NPI 1720046279
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.