Organization Active NPI

Medworks, Inc

Doing business as Clinic Pharmacy

  • Pharmacy
  • Shelbyville, IN
National Provider Identifier
1356330690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
60005416A Issued in IN
Legal business name
MEDWORKS, INC
Doing business as
Clinic Pharmacy
Practice address
30 W Rampart St
Suite 140
Shelbyville, IN 46176-8846
Phone
(317) 392-3737
Fax
(317) 392-9266
NPI assigned
Oct 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Whitfield
Title
Vice-President
Phone
(317) 392-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 60005416A IN Primary

Addresses

Primary practice location

30 W Rampart St
Suite 140
Shelbyville, IN 46176-8846

Mailing address

30 W Rampart St
Suite 140
Shelbyville, IN 46176-8846
Phone (317) 392-3737

Other identifiers 2

IdentifierTypeStateIssuer
1519391OtherINNCPDP
100353070MedicaidIN

Other names 1

  • Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medworks Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

30 W Rampart St
Ste 140
Shelbyville, IN 46176
Phone (317) 392-3737

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356330690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST",
            "address_2": "SUITE 140",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768846",
            "telephone_number": "317-392-3737",
            "fax_number": "317-392-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST",
            "address_2": "SUITE 140",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768846",
            "telephone_number": "317-392-3737",
            "fax_number": "317-392-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "317-392-3737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60005416A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1519391",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100353070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.