Webbs Family Pharmacy 3 LLC
Organization Active NPI Community/Retail Pharmacy · North Manchester, IN
NPI 1437636404 · NPPES record last updated Dec 22, 2018
Key facts
- NPI
- 1437636404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 600006680A (IN)
- Legal business name
- WEBBS FAMILY PHARMACY 3 LLC
- Practice address
- 103 N Heeter St
North Manchester, IN 46962 - Phone
- (260) 982-1000
- NPI assigned
- Jul 23, 2018
- Organization subpart
- No
Authorized official
- Name
- Harry Robert Webb, PD
- Title
- General Partner
- Phone
- (260) 982-1000
Member organizations 1
Practitioners 3
-
Addison Lawson, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2258345 | Webb'S Family Pharmacy 3, LLC | Certificate of waiver | Apr 19, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Webbs Family Pharmacy 3 LLC |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181107000603 | IN | DME Supplier - Pharmacy | 2567716707 | Practice locations: North Manchester, IN |
| O20190107002629 | IN | Part B Supplier - Mass Immunization (Roster Biller Only) | 2567716707 | Practice locations: North Manchester, IN |
National Provider Directory
Locations
103 N Heeter St
North Manchester, IN 46962
Phone (260) 982-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 600006680A | IN | Yes |
Addresses
Primary practice location
103 N Heeter St
North Manchester, IN 46962
Mailing address
103 N Heeter St
North Manchester, IN 46962-1956
Phone (260) 982-1000
Other names
- Webb's Family Pharmacy
Other providers in North Manchester, IN
- Emily Christine Vanderpool
- Tara L Vogel
- Chase Walker
- Warsaw Health System LLC
- Brandy Kaye Weaver
- Woodlawn Hospital
- Lori Jill Zimmerman
All providers in North Manchester, IN · Community/Retail Pharmacy in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.