NPIMap

Organization Active NPI

Houchens Express Pharmacy LLC

Doing business as Sheldons Express Pharmacy

  • Community/Retail Pharmacy
  • Rockport, IN
National Provider Identifier
1285784058
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006377A Issued in IN
Legal business name
HOUCHENS EXPRESS PHARMACY LLC
Doing business as
Sheldons Express Pharmacy
Practice address
815 Sycamore St
Rockport, IN 47635-1123
Phone
(812) 649-2227
Fax
(812) 649-3253
NPI assigned
Jan 11, 2007
Reactivated
Aug 23, 2024
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Leslie Bidwell
Title
Operations Coordinator
Phone
(812) 661-8684

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 60006377A IN Primary

Addresses

Primary practice location

815 Sycamore St
Rockport, IN 47635-1123

Mailing address

815 Sycamore St
Rockport, IN 47635-1123
Phone (812) 649-2227

Other identifiers 2

IdentifierTypeStateIssuer
2145889OtherPK
201226620AMedicaidIN

Other names 1

  • SHELDONS EXPRESS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140730002641 IN DME Supplier - Pharmacy 6305044850 Practice locations: Rockport, IN
O20140805001028 IN Part B Supplier - Mass Immunization (Roster Biller Only) 6305044850 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntingburg, IN; Jasper, IN; Rockport, IN

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sheldon's Express Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

843 Fairview Ave
Ste A1
Bowling Green, KY 42101

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1285784058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SYCAMORE ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351123",
            "telephone_number": "812-649-2227",
            "fax_number": "812-649-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SYCAMORE ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351123",
            "telephone_number": "812-649-2227",
            "fax_number": "812-649-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUCHENS EXPRESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-08-23",
        "deactivation_date": "2024-08-21",
        "reactivation_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "812-661-8684"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006377A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145889",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201226620A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHELDONS EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.

Verify at the official NPI Registry.