Med-a-Care LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60005931A Issued in IN

Legal business name

MED-A-CARE LLC

Doing business as

MEDPHARM PHARMACY

Practice address

2723 S 7TH St
Suite N
Terre Haute, IN 47802-3584

Phone

(812) 232-2086

Fax

(812) 234-9103

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Elias Kabous, RPH

Title

Owner

Phone

(812) 232-2086

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MEDPHARM PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1437183456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "address_2": "SUITE N",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023584",
            "telephone_number": "812-232-2086",
            "fax_number": "812-234-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "address_2": "SUITE N",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023584",
            "telephone_number": "812-232-2086",
            "fax_number": "812-234-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-A-CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "KABOUS",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-232-2086",
        "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": "60005931A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2025365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200806110A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDPHARM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.