NPIMap

Organization Active NPI

Henderson Drugs LLC

  • Community/Retail Pharmacy
  • Franklin, IN
National Provider Identifier
1295840221
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60005118A Issued in IN
Legal business name
HENDERSON DRUGS LLC
Doing business as
HENDERSON DRUGS
Practice address
100 E Jefferson St
Franklin, IN 46131-2323
Phone
(317) 736-5631
Fax
(317) 346-6669
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Travis Richey, RPHNPI 1285753681
Title
Owner
Phone
(317) 736-5631

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60005118A IN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

100 E Jefferson St
Franklin, IN 46131-2323

Mailing address

100 E Jefferson St
Franklin, IN 46131-2323
Phone (317) 736-5631

Other identifiers 2

IdentifierTypeStateIssuer
200217790AMedicaidIN
2023715OtherPK

Other names 1

  • HENDERSON DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

100 E Jefferson St
Franklin, IN 46131
Phone (317) 736-5631

Practitioners & affiliated clinicians

Practitioners 1

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1295840221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312323",
            "telephone_number": "317-736-5631",
            "fax_number": "317-346-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312323",
            "telephone_number": "317-736-5631",
            "fax_number": "317-346-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-736-5631",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005118A",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200217790A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENDERSON DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.