Engleking RX Lincoln Plaza LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60005483A Issued in IN

Legal business name

ENGLEKING RX LINCOLN PLAZA LLC

Doing business as

Engleking Rx

Practice address

619 Lincoln Ave
Bedford, IN 47421-2113

Phone

(812) 277-1702

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Ryan Neal Engleking

Title

Owner/Pharmacist

Phone

(812) 277-1702

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Engleking Rx Doing business as

Locations

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.

• Holly Ryann Eason, PHARMD

  • Pharmacist
  • Bedford, IN
  • NPI 1952149536
  NPD
• Lindsey Nicole McDaniel, PHARMD

  • Pharmacist
  • Bedford, IN
  • NPI 1487482931
  NPD
• Charlotte Wilson, PHARMD

  • Ambulatory Care Pharmacist
  • Mitchell, IN
  • NPI 1780218693
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1457442626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474469493",
            "telephone_number": "812-277-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 LINCOLN AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474212113",
            "telephone_number": "812-277-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEKING RX LINCOLN PLAZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "ENGLEKING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "812-277-1702"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005483A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200242760A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Engleking Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bedford, IN
• Providers in Bedford, 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 Jul 28, 2023; 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.