Active NPI
Health Professional Resources Inc
Doing business as Community Pharmacy
- Pharmacy
- Logansport, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 60004263B
- Legal business name
- HEALTH PROFESSIONAL RESOURCES INC
- Doing business as
- Community Pharmacy
- Practice address
- 1201 Michigan Ave
Ste 100
Logansport, IN 46947-1580 - Phone
- (574) 732-0418
- Fax
- (574) 753-8549
- NPI assigned
- Jan 19, 2006
- Last updated
- Apr 18, 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
- Angela Bowen
- Title
- Pharmacist in Charge
- Phone
- (574) 732-0418
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 60004263B | IN | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1201 Michigan Ave
Ste 100
Logansport, IN 46947-1580
Mailing address
1201 Michigan Ave
Ste 100
Logansport, IN 46947-1580
Phone (574) 732-0418
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100294260A | Medicaid | IN | |
| 2027371 | Other | PK |
Other names 1
- COMMUNITY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240403002883 | IN | Part B Supplier - Pharmacy | 2668411976 | Practice locations: Logansport, IN |
National Provider Directory
National Provider DirectoryLocations
1201 Michigan Ave
Ste 100
Logansport, IN 46947
Phone (574) 732-0418
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Logansport, IN
- NPI 1023957933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492473600000",
"number": "1275513707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 MICHIGAN AVE",
"address_2": "STE 100",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471580",
"telephone_number": "574-732-0418",
"fax_number": "574-753-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MICHIGAN AVE",
"address_2": "STE 100",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471580",
"telephone_number": "574-732-0418",
"fax_number": "574-753-8549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH PROFESSIONAL RESOURCES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2017-04-18",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "574-732-0418"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IN",
"license": "60004263B",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100294260A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2027371",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COMMUNITY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.