NPIMap

Organization Active NPI

Manchester University College of Pharmacy

  • Primary Care Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1285010579
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
26023835A Issued in IN
Legal business name
MANCHESTER UNIVERSITY COLLEGE OF PHARMACY
Practice address
10627 Diebold Rd
Fort Wayne, IN 46845-8606
Phone
(260) 470-2664
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Andrea Wilhite, PHARMD
Title
Ambulatory Care Specialist
Phone
(260) 470-2664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 26023835A IN Primary

Addresses

Primary practice location

10627 Diebold Rd
Fort Wayne, IN 46845-8606

Mailing address

10627 Diebold Rd
Fort Wayne, IN 46845-8606
Phone (260) 470-2664

National Provider Directory

National Provider Directory

Locations

10627 Diebold Rd
Fort Wayne, IN 46845
Phone (260) 357-8329

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1285010579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10627 DIEBOLD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458606",
            "telephone_number": "260-470-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10627 DIEBOLD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458606",
            "telephone_number": "260-470-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER UNIVERSITY COLLEGE OF PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "WILHITE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "AMBULATORY CARE SPECIALIST",
        "authorized_official_telephone_number": "260-470-2664",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "26023835A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.