NPIMap

Organization Active NPI

Herbst Apothecary, Inc.

Doing business as Herbst Pharmacy

  • Long Term Care Pharmacy
  • Kokomo, IN
National Provider Identifier
1255822409
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
60002425A Issued in IN
Legal business name
HERBST APOTHECARY, INC.
Doing business as
Herbst Pharmacy
Practice address
201 N Dixon Rd
Kokomo, IN 46901-4131
Phone
(765) 457-1191
Fax
(765) 868-3184
NPI assigned
May 23, 2018
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Greg Miller
Title
Sec/Tres
Phone
(765) 457-1191

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 60002425A IN Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

201 N Dixon Rd
Kokomo, IN 46901-4131

Mailing address

201 N Dixon Rd
Kokomo, IN 46901-4131
Phone (765) 457-1191

Other identifiers 2

IdentifierTypeStateIssuer
2177798OtherPK
100175400MedicaidIN

Other names 1

  • Herbst Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Herbst Apothecary Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1255822409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014131",
            "telephone_number": "765-457-1191",
            "fax_number": "765-868-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014131",
            "telephone_number": "765-457-1191",
            "fax_number": "765-868-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBST APOTHECARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "SEC/TRES",
        "authorized_official_telephone_number": "765-457-1191"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60002425A",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177798",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100175400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbst Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.