Organization Active NPI

Offerle Apothecary Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
National Provider Identifier
1427040302
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0022263670021 Issued in IN
Legal business name
OFFERLE APOTHECARY INC.
Practice address
2413 Hobson Rd
Fort Wayne, IN 46805-2917
Phone
(260) 424-6743
Fax
(260) 422-1855
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Mrs. Cynthia Sue Wright
Title
President
Phone
(260) 424-6743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0022263670021 IN Primary

Addresses

Primary practice location

2413 Hobson Rd
Fort Wayne, IN 46805-2917

Mailing address

2413 Hobson Rd
Fort Wayne, IN 46805-2917
Phone (260) 424-6743

Other identifiers 1

IdentifierTypeStateIssuer
100293460MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004276 IN DME Supplier - Medical Supply Company 1658498019 Practice locations: Fort Wayne, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Offerle Apothecary Inc2413 Hobson Rd, Fort Wayne, IN 46805-2917(260) 424-6743 Commodes, Urinals, Bedpans|Canes and/or Crutches|Walkers|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Ostomy Supplies|Urological Supplies|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2413 Hobson Rd
Fort Wayne, IN 46805
Phone (260) 424-6743

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1427040302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 HOBSON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052917",
            "telephone_number": "260-424-6743",
            "fax_number": "260-422-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 HOBSON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052917",
            "telephone_number": "260-424-6743",
            "fax_number": "260-422-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFERLE APOTHECARY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-424-6743",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0022263670021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100293460",
            "state": "IN"
        }
    ],
    "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 May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.