Active NPI
Fairmeadows Pharmacy
- Durable Medical Equipment & Medical Supplies
- Munster, IN
National Provider Identifier
1457587669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 60002227A
- Legal business name
- FAIRMEADOWS PHARMACY
- Practice address
- 800 Macarthur Blvd Ste 29
Munster, IN 46321-2917 - Phone
- (219) 836-8700
- Fax
- (219) 836-7639
- NPI assigned
- Jun 2, 2009
- Organization subpart
- Yes
- Parent organization
- FAIRMEADOWS PHARMACY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Walter Zurawski, R.PH.
- Title
- President
- Phone
- (219) 836-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 60002227A | IN | Primary |
Addresses
Primary practice location
800 Macarthur Blvd Ste 29
Munster, IN 46321-2917
Mailing address
800 Macarthur Blvd
Ste 29
Munster, IN 46321-2917
Phone (219) 836-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100298770A | Medicaid | IN | |
| 1515038 | Other | IN | NCPDP |
Other names 1
- FAIRMEADOWS PHARMACY/HME
National Provider Directory
National Provider Directory- Part of
- Fairmeadows Pharmacy
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Infusion Therapy Pharmacy
- Munster, IN
- NPI 1912900275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472774400000",
"number": "1457587669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MACARTHUR BLVD",
"address_2": "STE 29",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212917",
"telephone_number": "219-836-8700",
"fax_number": "219-836-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MACARTHUR BLVD STE 29",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212917",
"telephone_number": "219-836-8700",
"fax_number": "219-836-7639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRMEADOWS PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAIRMEADOWS PHARMACY, INC.",
"enumeration_date": "2009-06-02",
"last_updated": "2016-09-02",
"status": "A",
"authorized_official_last_name": "ZURAWSKI",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-836-8700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IN",
"license": "60002227A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100298770A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1515038",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAIRMEADOWS PHARMACY/HME",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.